Bartonella Quintana prosthetic aortitis successfully treated with doxycycline

BMJ Case Rep. 2019 Jul 10;12(7):e229877. doi: 10.1136/bcr-2019-229877.

Abstract

Bartonella quintana is a rare cause of culture-negative endovascular infection, characterised by intracellular persistence. We describe a case of ascending aortic prosthetic graft infection due to B. quintana, in a patient with past unrecognised necrotising aortitis, which was successfully treated with doxycycline monotherapy.

Keywords: cardiothoracic surgery; infections; infectious diseases.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use*
  • Aorta / diagnostic imaging
  • Aorta / microbiology
  • Aortitis / diagnosis
  • Aortitis / drug therapy*
  • Aortitis / microbiology
  • Bartonella Infections / diagnosis
  • Bartonella Infections / drug therapy*
  • Bartonella quintana*
  • Doxycycline / therapeutic use*
  • Female
  • Heart Valve Prosthesis / microbiology*
  • Humans
  • Positron-Emission Tomography

Substances

  • Anti-Bacterial Agents
  • Doxycycline