Table 1.
A summary of seven reported case of Bartonella endocarditis in Southeast Asia.
Sex and age (years), Province, year reported | Pre-existing disease | Duration of illness | Diagnosis (serology, PCR, culture) | Organ involved apart from IE complications | Treatment: surgery and medication | Outcome, follow-up period |
---|---|---|---|---|---|---|
M 57 Y Khon Kaen 2011 [15] |
AS with AR, MS with MR (RHD) | 5 days | PCR of valve, IHC staining of valve and serology | – | AVR and MVR, ampicillin, gentamicin | Improved over 2 months but died suddenly from anticoagulant-associated complications |
M 53 Y Surin 2013 [16] |
AR | 9 months | PCR of 16S rRNA gene, sequencing of valve and WSS staining of valve | – | AVR, ceftriaxone, levofloxacin gentamicin, then doxycycline |
Improved, follow-up duration unknown |
M 62 Y Bangkok 2016 [17] |
ASD, AR, TR and bioprosthetic pulmonic valve | 5 weeks | Serology, PCR (pap31 gene) of tissue valve and WSS staining of valve | Liver and spleen | AVR, PVR TVR, ceftriaxone, gentamicin, doxycycline | Improved over 9 months |
M 49 Y Bangkok 2017 [18] |
– | 2 months | PCR (16S–23S rRNA intergenic region) and WSS staining of valve | – | AVR, ceftriaxone, gentamicin, doxycycline | Improved over 6 weeks |
M 51 Y Bangkok (our case) 2017 |
– | 5 months | PCR (pap31 gene) of serum | Lung, bone, epididymis, lymph nodes | Levofloxacin, azithromycin, doxycycline, gentamicin | Improved over 7 months |
M 57 Y Pakse, Laos 2012 [19] |
– | 1 month | Serology | – | Ceftriaxone, gentamicin | Improved over 12 months |
F 69 Y Xaysettha, Laos 2008 [19] |
– | 2 months | Serology | – | Ceftriaxone | Improved but died due to gastric perforation |
M: male, F: female, AS: aortic stenosis, AR: aortic regurgitation, MS: mitral stenosis, MR: mitral regurgitation, PS: pulmonic stenosis, TR: tricuspid regurgitation, ASD: atrial septal defect, CHD: congenital heart disease, RHD: rheumatic heart disease, IE: infective endocarditis, AVR: aortic valve replacement, MVR: mitral valve replacement, TVR: tricuspid valve replacement, PVR: pulmonic valve replacement, IHC: immunohistochemical staining, WSS: Warthin–Starry silver.