Silent Native-valve Endocarditis Caused by Propionibacterium acnes

We describe a rare case of Propionibacterium acnes native-valve endocarditis that silently progressed in a 67-year-old man with hybrid dialysis. The patient was scheduled for kidney transplantation, and pre-operative investigation incidentally detected a vegetative structure at his native mitral val...

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Detalles Bibliográficos
Autores principales: Yamamoto, Rintaro, Miyagawa, Shigeru, Hagiya, Hideharu, Kimura, Keigo, Nishi, Isao, Yamamoto, Norihisa, Yoshida, Hisao, Akeda, Yukihiro, Tomono, Kazunori, Toda, Koichi, Sawa, Yoshiki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148182/
https://www.ncbi.nlm.nih.gov/pubmed/29607974
http://dx.doi.org/10.2169/internalmedicine.9833-17
Descripción
Sumario:We describe a rare case of Propionibacterium acnes native-valve endocarditis that silently progressed in a 67-year-old man with hybrid dialysis. The patient was scheduled for kidney transplantation, and pre-operative investigation incidentally detected a vegetative structure at his native mitral valve that had increased in size. He underwent cardiac surgery and P. acnes was detected in cultures of a resected cardiac valve specimen and blood. This case highlights that P. acnes can silently cause infective endocarditis in a native-valve, and that physicians should consider the possibility of infection when P. acnes is isolated in blood cultures.

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