Abstract
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.
Keywords:
16S Ribosomal sequencing; Corynebacterium propinquum; Infective endocarditis.
Copyright © 2017 Elsevier Inc. All rights reserved.
MeSH terms
-
Anti-Bacterial Agents / therapeutic use
-
Aortic Valve / drug effects
-
Aortic Valve / microbiology*
-
Aortic Valve / pathology
-
Ceftriaxone / therapeutic use
-
Corynebacterium / classification*
-
Corynebacterium / drug effects
-
Corynebacterium / genetics
-
Corynebacterium / isolation & purification
-
Corynebacterium Infections / diagnosis
-
Corynebacterium Infections / drug therapy
-
Corynebacterium Infections / microbiology*
-
Corynebacterium Infections / pathology
-
Endocarditis, Bacterial / diagnosis
-
Endocarditis, Bacterial / drug therapy
-
Endocarditis, Bacterial / microbiology*
-
Endocarditis, Bacterial / pathology
-
Humans
-
Male
-
Middle Aged
-
Predictive Value of Tests
-
Ribotyping*
-
Treatment Outcome
Substances
-
Anti-Bacterial Agents
-
Ceftriaxone