Blood culture-negative endocarditis caused by Bartonella quintana in Iran.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
30 10 2024
Historique:
received: 05 09 2024
accepted: 24 10 2024
medline: 31 10 2024
pubmed: 31 10 2024
entrez: 31 10 2024
Statut: epublish

Résumé

Blood culture-negative endocarditis (BCNE) is a challenging disease because of the significant impact of delayed diagnosis on patients. In this study, excised heart valves and blood serum samples were collected from 50 BCNE patients in two central hospitals in Tehran, Iran. Sera were tested by IFA for the presence of IgG and IgM antibodies against Bartonella quintana and B. henselae. Genomic DNA extracted from the heart valves was examined for Bartonella-specific ssrA gene in a probe-based method real-time PCR assay. Any positive sample was Sanger sequenced. IgG titer higher than 1024 was observed in only one patient and all 50 patients tested negative for Bartonella IgM. By real-time PCR, the ssrA gene was detected in the valve of one patient which was further confirmed to be B. quintana. Bartonella-like structures were observed in transmission electron microscopy images of that patient. We present for the first time the involvement of Bartonella in BCNE in Iran. Future research on at-risk populations, as well as domestic and wild mammals as potential reservoirs, is recommended.

Identifiants

pubmed: 39478136
doi: 10.1038/s41598-024-77757-0
pii: 10.1038/s41598-024-77757-0
doi:

Substances chimiques

Immunoglobulin M 0
Antibodies, Bacterial 0
Immunoglobulin G 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

26063

Subventions

Organisme : Hamadan University of Medical Sciences
ID : 9812209686

Informations de copyright

© 2024. The Author(s).

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Auteurs

Masoud Azimzadeh (M)

Department of Microbiology, Hamadan University of Medical Sciences, Hamadan, Iran.

Mohammad Yousef Alikhani (MY)

Department of Microbiology, Hamadan University of Medical Sciences, Hamadan, Iran. alikhani43@yahoo.com.
Infectious Disease Research Center, Avicenna Institute of Clinical Sciences, Hamadan University of Medical Sciences, Hamadan, Iran. alikhani43@yahoo.com.

Alireza Sazmand (A)

Department of Pathobiology, Faculty of Veterinary Medicine, Bu-Ali Sina University, Hamedan, 6517658978, Iran. alireza.sazmand@basu.ac.ir.

Kianoush Saberi (K)

Department of Anesthesia, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Zohreh Farahani (Z)

Department of Nursery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Monireh Kamali (M)

Department of Infectious Diseases, Shaheed Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Mahdi Haddadzadeh (M)

Department of Cardiac Surgery, Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, 8915887856, Iran.

Gholamreza Safarpoor (G)

Department of Cardiovascular Surgery, School of Medicine, Farshchian Cardiovascular Subspecialty Medical Center, Hamadan University of Medical Sciences, Hamadan, Iran.

Alireza Nourian (A)

Department of Pathobiology, Faculty of Veterinary Medicine, Bu-Ali Sina University, Hamedan, 6517658978, Iran.

Younes Mohammadi (Y)

Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.

Farzad Beikpour (F)

Department of Pediatrics, School of Medicine, Washington University, St. Louis, MO, 63110, USA.

Mehrdad Salehi (M)

Department of Cardiovascular and Transplantation Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Grazia Greco (G)

Department of Veterinary Medicine, University of Bari "Aldo Moro", Valenzano, 70010, Bari, Italy.

Bruno Chomel (B)

Department of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis, USA.

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