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  • Title: Use of the polymerase chain reaction and DNA sequencing for detection of Bartonella quintana in the aortic valve of a patient with culture-negative infective endocarditis.
    Author: Jalava J, Kotilainen P, Nikkari S, Skurnik M, Vänttinen E, Lehtonen OP, Eerola E, Toivanen P.
    Journal: Clin Infect Dis; 1995 Oct; 21(4):891-6. PubMed ID: 8645836.
    Abstract:
    We used the polymerase chain reaction (PCR) and broad-range bacterial primers, combined with DNA sequencing, to identify Bartonella quintana as the etiologic agent in a case of culture-negative infective endocarditis; all blood cultures, as well as the bacterial cultures of the resected aortic valve and vegetations, remained negative. PCR was used to amplify bacterial 16S rDNA from a template prepared from the aortic valve vegetation. The amplified 16S rDNA produced a nucleotide sequence that was 99.79% identical to the B. quintana rDNA sequence. The patient had a highly elevated level of serum antibodies to Bartonella antigen (1:8,192).
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