Chlamydia psittaci endocarditis: A case report and literature review - 27/07/23
, Julie Lourtet-Hascoët b, ⁎ , Jean-Louis Galinier c, Hélène Charbonneau d, Nicolas Robinet e, Camille Fourcade a, Eric Bonnet aHighlights |
• | Blood-culture-negative infective endocarditis is found in 2 to 48% of endocarditis. |
• | We report a case of Chlamydia psittaci endocarditis associated with spondylodiscitis. |
• | Diagnosis was assessed with questioning, positive serology and PCR on valves. |
• | In case of surgery, PCR assays on cardiac tissue samples should be considered. |
Abstract |
Objectives |
Blood-culture-negative infective endocarditis (BCNE) is found in 2 to 48% of cases of infective endocarditis (IE) (Houpikian and Raoult, 2005) [[1]].IE and vertebral osteomyelitis due to Chlamydia sp. are difficult to diagnose.
Patients and methods |
A case report of Chlamydia psittaci IE is provided, associated with a literature review.
Results |
We report the first case of Chlamydia psittaci IE, revealed by a spondylodiscitis. Questioning of the patient, imaging, serologies and PCR techniques on valves confirmed the diagnosis.
Conclusion |
C. psittaci IE is rare but probably underdiagnosed. In case of negative blood cultures, questioning patients with IE about their contacts with animals is relevant. PCR techniques are reference tools for diagnosis confirmation when valve or vertebral samples are available.
Le texte complet de cet article est disponible en PDF.Keywords : Chlamydia psittaci, Infective endocarditis, Vertebral osteomyelitis, PCR
Plan
Vol 53 - N° 5
Article 104687- août 2023 Retour au numéro
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