Source:http://linkedlifedata.com/resource/pubmed/id/11450862
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2001-7-13
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pubmed:abstractText |
During the period 1979-92, an increasing number of sudden unexpected cardiac deaths (SUCD) occurred in young, Swedish, male elite orienteers. Myocarditis was the most common diagnosis in the 16 victims, and in 4 cases was also associated with fatty infiltration mimicking arrhythmogenic right ventricular cardiomyopathy (ARVC). Tissues from autopsies of 5 orienteers were tested for Bartonella by PCR targeting the gltA (citrate-synthase) gene. The products were then sequenced. Antibodies to B. henselae, B. quintana and B. elizabethae were measured by indirect fluorescence antibody assay. Bartonella spp. DNA was detected in the hearts of 4 deceased orienteers, and in the lung of a fifth deceased case. The sequences were close to B. quintana in 2 cases and identical to B. henselae in 3. Four of these 5 cases, as well as 2 additional cases of elite orienteers with ARVC, indicated antibodies to Bartonella. It is suggested that Bartonella-induced silent subacute myocarditis, eventually leading to electric instability, caused the increased SUCD rate among the Swedish orienteers. It is further suggested that Bartonella infection may be a major pathogenetic factor in the development of ARVC-like disease. Although the mode of transmission is unknown, both zoonotic/vector-borne and parenteral person-to-person transmission may be involved.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0036-5548
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
33
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
429-38
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:11450862-Adult,
pubmed-meshheading:11450862-Antibodies, Bacterial,
pubmed-meshheading:11450862-Arrhythmias, Cardiac,
pubmed-meshheading:11450862-Autopsy,
pubmed-meshheading:11450862-Bartonella,
pubmed-meshheading:11450862-Bartonella Infections,
pubmed-meshheading:11450862-DNA, Bacterial,
pubmed-meshheading:11450862-Death, Sudden, Cardiac,
pubmed-meshheading:11450862-Humans,
pubmed-meshheading:11450862-Male,
pubmed-meshheading:11450862-Middle Aged,
pubmed-meshheading:11450862-Polymerase Chain Reaction,
pubmed-meshheading:11450862-Risk Factors
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pubmed:year |
2001
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pubmed:articleTitle |
Subacute bartonella infection in Swedish orienteers succumbing to sudden unexpected cardiac death or having malignant arrhythmias.
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pubmed:affiliation |
Department of Medical Sciences, Uppsala University Hospital, Sweden. lars.wesslen@medsci.uu.se
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pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't
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