Aortic valvular endocarditis caused by Bartonella vinsonii subsp. berkhoffii in 2 dogs presenting for fulminant pulmonary edema
Article first published online: 19 MAR 2004
Journal of Veterinary Emergency and Critical Care
Volume 14, Issue 1, pages 42–51, March 2004
How to Cite
Smarick, S. D., Jandrey, K. E., Chomel, B. B., Thomas, W. P. and Aldrich, J. (2004), Aortic valvular endocarditis caused by Bartonella vinsonii subsp. berkhoffii in 2 dogs presenting for fulminant pulmonary edema. Journal of Veterinary Emergency and Critical Care, 14: 42–51. doi: 10.1111/j.1534-6935.2004.00099.x
- Issue published online: 19 MAR 2004
- Article first published online: 19 MAR 2004
- acute renal failure;
- aortic valvular insufficiency;
- pulmonary artery catheterization;
- pulmonary infiltrates;
- transesophageal echocardiography
Objective: To describe the clinical course of 2 dogs that presented with fulminant cardiogenic pulmonary edema due to aortic valvular endocarditis caused by Bartonella vinsonii subsp. berkhoffii.
Case series summary: Two dogs that were presented for respiratory distress had severe pulmonary infiltrates. Mechanical ventilation was required to support the dogs while the cause of the infiltrates was determined. The diagnosis of cardiogenic edema was made based on echocardiographic findings of aortic valve vegetation and severe aortic valvular regurgitation. Values obtained from pulmonary artery catheterization supported this diagnosis. Both dogs were euthanized, one within 24 hours of admission due to severe aortic regurgitation thought to be untreatable, and the other 9 days after admission due to the development of acute renal failure. Histological evaluation of the aortic valves, serology, and polymerase chain reaction confirmed Bartonella vinsonii subsp. berkhoffii as the cause of the aortic endocarditis.
New or unique information provided: In medium-to-large breed dogs presenting with fulminant pulmonary edema, aortic valvular endocarditis due to Bartonella spp. should be considered as a causal agent.