Rea Bryan, Hawkins Jaleah, Min Htun, Maniglia Richard, Talati Naasha, Glaser Laurel
Department of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Department of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Cardiovasc Pathol. 2017 May-Jun;28:71-73. doi: 10.1016/j.carpath.2017.03.006. Epub 2017 Mar 22.
Infective endocarditis is rarely caused by Corynebacterium species. We report a unique case of Corynebacterium propinquum endocarditis in an otherwise healthy individual, and it is the first example of this organism causing culture-negative endocarditis. Conflicting clinical and microbiological data led to the use of sequencing to confirm the causative organism. This case illustrates C. propinquum as a cause of infective endocarditis, and it demonstrates the utility of ancillary molecular diagnostic techniques to identify etiologic agents in difficult cases of infective endocarditis.
感染性心内膜炎很少由棒状杆菌属引起。我们报告了一例在其他方面健康的个体中发生的近平滑棒状杆菌心内膜炎的独特病例,这是该病原体导致血培养阴性心内膜炎的首例。相互矛盾的临床和微生物学数据促使使用测序来确认病原体。该病例说明了近平滑棒状杆菌可作为感染性心内膜炎的病因,并证明了辅助分子诊断技术在识别感染性心内膜炎疑难病例病原体方面的实用性。