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Transient monoclonal gammopathy in a patient with Bartonella quintana endocarditis

✍ Scribed by Pascal Sève; Robert Turner; Katia Stankovic; Laurent Perard; Christiane Broussolle

Publisher
John Wiley and Sons
Year
2006
Tongue
English
Weight
86 KB
Volume
81
Category
Article
ISSN
0361-8609

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✦ Synopsis

Monoclonal gammopathy has been reported rarely in association with infectious diseases. Viral infection has been the most frequently reported. We report a case of Bartonella quintana endocarditis in a 45-year-old homeless male associated with a monoclonal IgG kappa gammopathy. The gammopathy disappeared after 8 months of antibiotics while the Bartonella antibody titre was decreasing. This correlation suggests a causative role for B. quintana for the monoclonal gammopathy. To the best of our knowledge, this the first report of monoclonal gammopathy in the course of B. quintana infection.

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