دورية أكاديمية
Bartonella quintana Endocarditis: A Systematic Review of Individual Cases.
العنوان: | Bartonella quintana Endocarditis: A Systematic Review of Individual Cases. |
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المؤلفون: | Boodman C; Division of Infectious Diseases, Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.; Unit of HIV and Neglected Tropical Diseases, Institute of Tropical Medicine, Antwerp, Belgium., Gupta N; Department of Infectious Disease, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India., Nelson CA; Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado, USA., van Griensven J; Unit of HIV and Neglected Tropical Diseases, Institute of Tropical Medicine, Antwerp, Belgium. |
المصدر: | Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [Clin Infect Dis] 2024 Mar 20; Vol. 78 (3), pp. 554-561. |
نوع المنشور: | Systematic Review; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 9203213 Publication Model: Print Cited Medium: Internet ISSN: 1537-6591 (Electronic) Linking ISSN: 10584838 NLM ISO Abbreviation: Clin Infect Dis |
أسماء مطبوعة: | Publication: Jan. 2011- : Oxford : Oxford University Press Original Publication: Chicago, IL : The University of Chicago Press, c1992- |
مواضيع طبية MeSH: | Bartonella quintana*/isolation & purification , Endocarditis, Bacterial*/microbiology , Endocarditis, Bacterial*/drug therapy , Endocarditis, Bacterial*/diagnosis , Endocarditis, Bacterial*/epidemiology , Trench Fever*/microbiology , Trench Fever*/diagnosis , Trench Fever*/drug therapy, Humans ; Female ; Male ; Risk Factors ; Anti-Bacterial Agents/therapeutic use ; Adult ; Child ; Middle Aged |
مستخلص: | Background: Bartonella quintana is a louse-borne bacterium that remains a neglected cause of endocarditis in low-resource settings. Our understanding of risk factors, clinical manifestations, and treatment of B. quintana endocarditis are biased by older studies from high-income countries. Methods: We searched Pubmed Central, Medline, Scopus, Embase, EBSCO (CABI) Global Health, Web of Science and international trial registers for articles published before March 2023 with terms related to Bartonella quintana endocarditis. We included articles containing case-level information on B. quintana endocarditis and extracted data related to patient demographics, clinical features, diagnostic testing, treatment, and outcome. Results: A total of 975 records were identified, of which 569 duplicates were removed prior to screening. In total, 84 articles were eligible for inclusion, describing a total of 167 cases. Infections were acquired in 40 different countries; 62 cases (37.1%) were acquired in low- and middle-income countries (LMICs). Disproportionately more female and pediatric patients were from LMICs. More patients presented with heart failure (n = 70/167 [41.9%]) than fever (n = 65/167 [38.9%]). Mean time from symptom onset to presentation was 5.1 months. Also, 25.7% of cases (n = 43/167) were associated with embolization, most commonly to the spleen and brain; 65.5% of antimicrobial regimens included doxycycline. The vast majority of cases underwent valve replacement surgery (n = 154/167, [98.0%]). Overall case fatality rate was 9.6% (n = 16/167). Conclusions: B. quintana endocarditis has a global distribution, and long delays between symptom onset and presentation frequently occur. Improved clinician education and diagnostic capacity are needed to screen at-risk populations and identify infection before endocarditis develops. Competing Interests: Potential conflicts of interest. The authors: No reported conflicts of interest. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. (© The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
معلومات مُعتمدة: | University of Manitoba's Clinical Investigator Program |
فهرسة مساهمة: | Keywords: cardiac; louse; poverty; trench fever |
المشرفين على المادة: | 0 (Anti-Bacterial Agents) |
تواريخ الأحداث: | Date Created: 20231117 Date Completed: 20240807 Latest Revision: 20240807 |
رمز التحديث: | 20240808 |
DOI: | 10.1093/cid/ciad706 |
PMID: | 37976173 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1537-6591 |
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DOI: | 10.1093/cid/ciad706 |