Journal of Investigative Medicine High Impact Case Reports (Aug 2023)

Culture-Negative Endocarditis in an Immunocompromised Patient: A Case of Suspected and Co-Infection

  • Steven Swarath MBBS,
  • Nicole Maharaj MBBS,
  • Tiffany Kawall MBBS,
  • Rajeev Seecheran MBBS, MHA,
  • Valmiki Seecheran MBBS, MSc,
  • Stanley Giddings MBBS,
  • Naveen Anand Seecheran MBBS (MD), MSc, FACP, FRCP(E), FACC, FESC, FSCAI

DOI
https://doi.org/10.1177/23247096231192811
Journal volume & issue
Vol. 11

Abstract

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We present the case of a 23-year-old man with a previous deceased-donor renal transplant maintained on tacrolimus and prednisone who developed culture-negative endocarditis (CNE) of the mitral and aortic valves. He was suspected of being co-infected with Bartonella henselae and Coxiella burnetii , confirmed with serology testing. He was successfully managed with appropriate antibiotics and dual valve replacement.