Microorganism

Suspicious characteristics

Complementary means of diagnosis

Brucella spp.

Ingestion of animal products derived from unpasteurized milk Contact with animals

Blood culture; serology; cultural examination, immunohistology and surgicalsample PCR

C. burnetii

Contact with animals

Serology; cultural examination, immunohistology and surgicalsample PCR

Bartonella spp.

Nutrition and poor sanitary conditions (B. quintana)

Contact with cats (B. henselae)

Blood culture; serology; cultural examination, immunohistology and surgicalsample PCR

T. whipplei

Clinical picture with diarrhea

Histology and surgical sample PCR

Mycoplasma spp.

Serology; cultural examination, immunohistology and surgicalsample PCR

Legionella spp.

Nosocomial infection in patients with valvular prosthesis

Blood culture; serology; cultural examination, immunohistologyand surgicalsample PCR

C. pneumoniae

Association with aterosclerose and valvular disease;

Cross-reaction with Bartonella spp.

Microimmunofluorescencetest; Serology; cultural examination, immunohistologyand surgicalsample PCR