Bartonella Endocarditis Complicated by Anterior Cerebral Artery Mycotic Aneurysm

Document Type

Conference Proceeding - Restricted Access

Publication Date

5-9-2025

Abstract

Bartonella endocarditis can be an elusive diagnosis accounting for only 3-4% of culture negative endocarditis cases. Clinical manifestations can include neurologic sequelae thought to occur in 30% of patients. Mycotic aneurysm is a potential rare complication with few reported cases in the literature. Patients often present without neurologic symptoms making it difficult to diagnose. Institutions have different guidelines on routine work up for endocarditis with some including brain imaging despite the presence of neurologic symptoms while others only do brain imaging if neurologic symptoms are present. These patients often require Cardiothoracic Surgery and valve replacement putting them at risk for aneurysm rupture if mycotic aneurysm goes undiagnosed. We present a case of a 34-year-old male with Bartonella endocarditis and mycotic aneurysm with no neurologic symptoms on presentation.

Comments

2025 Research Day Corewell Health West, Grand Rapids, MI, May 9, 2025. Abstract 1773

This document is currently not available here.

Share

COinS