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  • Title: Bartonella henselae endocarditis in an immunocompetent adult.
    Author: Holmes AH, Greenough TC, Balady GJ, Regnery RL, Anderson BE, O'Keane JC, Fonger JD, McCrone EL.
    Journal: Clin Infect Dis; 1995 Oct; 21(4):1004-7. PubMed ID: 8645787.
    Abstract:
    We describe a case of aggressive Bartonella henselae endocarditis in an immunocompetent man who owned a cat. Aortic valve replacement was required, and his infection was diagnosed by histology, serology, and polymerase chain reaction analysis. The manifestations of his disease included mediastinal lymphadenopathy, glomerulonephritis, myocarditis, and a petechial rash; the unusual finding of a positive titer of c-antineutrophil cytoplasmic antibodies was noted. Serological titers were markedly elevated for > 1 year despite clinical improvement.
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