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Urban trench fever presenting as culture-negative endocarditis by N.E. Jenkins, D.J.P. Ferguson, N.J. Alp, T.G. Harrison, and I.C.J.W. Bowler QJM Volume.

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Presentation on theme: "Urban trench fever presenting as culture-negative endocarditis by N.E. Jenkins, D.J.P. Ferguson, N.J. Alp, T.G. Harrison, and I.C.J.W. Bowler QJM Volume."— Presentation transcript:

1 Urban trench fever presenting as culture-negative endocarditis by N.E. Jenkins, D.J.P. Ferguson, N.J. Alp, T.G. Harrison, and I.C.J.W. Bowler QJM Volume 102(1):63-65 December 18, 2008 © The Author 2008. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

2 Image from transthoracic echocardiogram (parasternal long axis view) in end diastole showing thickened aortic valve and vegetation (arrow), prolapsing into left ventricular outflow tract, leading to severe aortic regurgitation. N.E. Jenkins et al. QJM 2009;102:63-65 © The Author 2008. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

3 Electron micrograph of the excised aortic valve revealing foci of calcification (arrows) and numerous Gram negative bacilli (B). N.E. Jenkins et al. QJM 2009;102:63-65 © The Author 2008. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

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