[A 22-year-old patient from Ghana with fever and reduced CD4 T-cell count]

H Ghanem; S Hagel; P Keller; D Prochnau; A Stallmach; M W Pletz

doi:10.1007/s00108-012-3159-6

[A 22-year-old patient from Ghana with fever and reduced CD4 T-cell count]

Internist (Berl). 2013 Jan;54(1):100-4. doi: 10.1007/s00108-012-3159-6.

[Article in German]

Authors

H Ghanem¹, S Hagel, P Keller, D Prochnau, A Stallmach, M W Pletz

Affiliation

¹ Klinik für Innere Medizin II, Abteilung für Gastroenterologie, Hepatologie und Infektiologie, Universitätsklinikum Jena, Deutschland.

PMID: 23318543
DOI: 10.1007/s00108-012-3159-6

Abstract

A 22-year-old patient from Ghana without relevant co-morbidities was admitted twice with fever of unknown origin and reduced CD4 T-cell count. During the second hospital stay, after prolonged incubation of blood cultures and detection of vegetations on the mitral valve in a transesophageal echocardiogram, infectious endocarditis with Aggregatibacter aphrophilus was diagnosed. Treatment according to European guidelines resulted in resolution of the fever, dissolution of the mitral valve vegetations and recovery of CD4 T-cell count.

Publication types

Case Reports
English Abstract

MeSH terms

Adult
Anti-Bacterial Agents / therapeutic use*
CD4 Lymphocyte Count*
Echocardiography / methods
Endocarditis, Bacterial / complications
Endocarditis, Bacterial / diagnosis*
Endocarditis, Bacterial / drug therapy*
Fever of Unknown Origin / diagnosis
Fever of Unknown Origin / etiology*
Fever of Unknown Origin / prevention & control*
Ghana
Humans
Male

Substances

Anti-Bacterial Agents