Perez Cristina, Hummel James B, Keene Bruce W, Maggi Ricardo G, Diniz Pedro P V P, Breitschwerdt Edward B
Intracellular Pathogens Research Laboratory, Center for Comparative Medicine and Translational Research, College of Veterinary Medicine, North Carolina State University (NCSU), Raleigh, NC, United States.
J Feline Med Surg. 2010 Jun;12(6):483-6. doi: 10.1016/j.jfms.2009.12.018. Epub 2010 Feb 6.
This report describes the clinical presentation, diagnosis and treatment of a cat with vegetative valvular endocarditis temporally associated with natural infection with Bartonella henselae. Lethargy, abnormal gait and weakness were the main clinical signs that resulted in referral for diagnostic evaluation. Using a novel and sensitive culture approach, B henselae was isolated from the blood. Following antibiotic therapy there was total resolution of clinical signs, the heart murmur, the valvular lesion by echocardiography, and no Bartonella species was isolated or amplified from a post-treatment blood culture. In conjunction with previous case reports, infective endocarditis can be associated with natural B henselae infection in cats; however, early diagnosis and treatment may result in a better prognosis than previously reported.
本报告描述了一只猫患增殖性心内膜炎的临床表现、诊断及治疗情况，该病与感染汉氏巴尔通体自然感染存在时间上的关联。嗜睡、异常步态和虚弱是导致转诊进行诊断评估的主要临床症状。采用一种新颖且灵敏的培养方法，从血液中分离出了汉氏巴尔通体。抗生素治疗后，临床症状、心脏杂音、超声心动图显示的瓣膜病变均完全消失，且治疗后血培养未分离或扩增出任何巴尔通体菌种。结合之前的病例报告，感染性心内膜炎可能与猫自然感染汉氏巴尔通体有关；然而，早期诊断和治疗可能会带来比之前报道更好的预后。
