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Transient monoclonal gammopathy in a patient with Bartonella quintana endocarditis
Pascal Sève1, Robert Turner, Katia Stankovic
1Department of Internal Medicine, Lyon-Sud Faculty of Medicine, Claude Bernard Lyon I University, Lyon, France.
Abstract:
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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