Blasco M, Torres L, Marco M L, Moles B, Villuendas M C, García Moya J B
Department of Microbiology, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Eur J Clin Microbiol Infect Dis. 2000 Aug;19(8):638-40. doi: 10.1007/s100960000333.
Mycoplasma hominis endocarditis is extremely uncommon and difficult to diagnose. Atypical growth characteristics in routine bacterial culture and an inability to demonstrate the organism using Gram staining can lead to a delayed diagnosis of Mycoplasma hominis infections, and the organism is often missed. This report describes a patient with Mycoplasma hominis prosthetic valve endocarditis. The microorganism was recovered from the mitral prosthesis but was missed in blood cultures. This finding suggests that Mycoplasma hominis should be considered in the differential diagnosis of culture-negative endocarditis.
人型支原体性心内膜炎极为罕见且难以诊断。常规细菌培养中的非典型生长特征以及革兰氏染色无法显示该病原体，可能导致人型支原体感染的诊断延迟，且该病原体常常被漏诊。本报告描述了一名患有人型支原体人工瓣膜心内膜炎的患者。该微生物从二尖瓣人工瓣膜中检出，但血培养中未检测到。这一发现提示，在培养阴性的心内膜炎鉴别诊断中应考虑人型支原体。
