Emerging infectious diseases · 2024
Bartonella quintana Endocarditis in Persons Experiencing Homelessness, New York, New York, USA, 2020-2023.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Keller Marina, Agladze Mariam, Kupferman Tania, Rich Shannan N, Marx Grace E, Gnanaprakasam Rachel, Kodama Rich, Feldmesser Marta, Mitchell Kara, Wroblewski Danielle, Juretschko Stefan, Kleinman George M, Kuehnert Matthew J, Bhatnagar Julu, Carnes Marlene Deleon, Bullock Hannah, Reagan-Steiner Sarah, Corvese Gabriella, Ackelsberg Joel
Аннотация
Bartonella quintana infection can lead to bacillary angiomatosis, peliosis hepatis, chronic bacteremia, and culture-negative endocarditis. Transmitted by the human body louse (Pediculus humanus humanus), B. quintana infection has become an emerging disease in recent decades among persons experiencing homelessness. By using retrospective laboratory surveillance, we identified 5 cases of left-sided, culture-negative B. quintana endocarditis among persons in New York, New York, USA, during January 1, 2020-November 23, 2023. Identifications were made by using molecular assays. All patients experienced unsheltered homelessness in the year before hospitalization. Of those patients, 4 experienced heart failure, 3 renal failure, and 2 embolic strokes; 2 died. Aortic valve replacement occurred in 4 cases. A history of possible body louse infestation was found in 4 cases. Clinicians should consider housing status and history of lice exposure in patients with suspected bartonellosis and have a low threshold for diagnostic testing and empiric treatment in patients experiencing homelessness.