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Title
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Bartonella endocarditis mimicking adult Still's disease
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Author
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Abstract
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| We describe the case of a 39-year-old Caucasian woman who was admitted to the University Hospital of Antwerp with a clinical picture suggestive of adult Still's disease. Even though a transoesophageal echocardiography showed endocarditis of the aortic valve, blood cultures remained negative. Additional serotogical testing revealed a positive result for Bartonella henselae. Histology of the supraclavicular lymph node showed a reactive lymph node with a positive polymerase chain reaction (PCR) for Bartonella henselae. Prednisolone treatment was started in a dosage of 10 mg per day and rifampicin 600 mg/d in combination with doxycyclin 200 mg/d was given for 6 months. During therapy the patient gradually improved and signs of endocarditis disappeared on echocardiography. |
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Language
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English
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Source (journal)
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Acta clinica Belgica. - Leuven, 1946 - 1997
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Publication
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Leuven
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2008
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ISSN
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0001-5512
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DOI
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10.1179/ACB.2008.030
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Volume/pages
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63
:3
(2008)
, p. 190-192
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ISI
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000257733200007
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Full text (Publisher's DOI)
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