2017
First report of Sneathia sanguinegens together with Mycoplasma hominis in postpartum prosthetic valve infective endocarditis: a case report
KOTÁSKOVÁ, Iva, Petr NĚMEC, Martina VANĚRKOVÁ, Barbora MALIŠOVÁ, Renata TEJKALOVÁ et. al.Základní údaje
Originální název
First report of Sneathia sanguinegens together with Mycoplasma hominis in postpartum prosthetic valve infective endocarditis: a case report
Autoři
KOTÁSKOVÁ, Iva (203 Česká republika, domácí), Petr NĚMEC (203 Česká republika), Martina VANĚRKOVÁ (203 Česká republika), Barbora MALIŠOVÁ (203 Česká republika), Renata TEJKALOVÁ (203 Česká republika, domácí), Marek ORBAN (203 Česká republika), Víta ŽAMPACHOVÁ (203 Česká republika, domácí) a Tomáš FREIBERGER (203 Česká republika, garant, domácí)
Vydání
BMC INFECTIOUS DISEASES, London, BIOMED CENTRAL LTD, 2017, 1471-2334
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30300 3.3 Health sciences
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.620
Kód RIV
RIV/00216224:14740/17:00095651
Organizační jednotka
Středoevropský technologický institut
UT WoS
000407590900002
Klíčová slova anglicky
Infective endocarditis; Postpartum endocarditis; Sneathia; Mycoplasma; Polymicrobial infections
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 5. 12. 2017 13:33, Ing. Kateřina Ornerová, Ph.D.
Anotace
V originále
Background: The presence of more than one bacterial agent is relatively rare in infective endocarditis, although more common in prosthetic cases. Molecular diagnosis from a removed heart tissue is considered a quick and effective way to diagnose fastidious or intracellular agents. Case presentation: Here we describe the case of postpartum polymicrobial prosthetic valve endocarditis in a young woman. Sneathia sanguinegens and Mycoplasma hominis were simultaneously detected from the heart valve sample using broad range 16S rRNA polymerase chain reaction (PCR) followed by sequencing while culture remained negative. Results were confirmed by independent PCR combined with denaturing gradient gel electrophoresis. Before the final agent identification, the highly non-compliant patient left from the hospital against medical advice on empirical intravenous treatment with aminopenicillins, clavulanate and gentamicin switched to oral amoxycillin and clavulanate. Four months after surgery, no signs of inflammation were present despite new regurgitation and valve leaflet flail was detected. However, after another 5 months the patient died from sepsis and recurrent infective endocarditis of unclarified etiology. Conclusions: Mycoplasma hominis is a rare causative agent of infective endocarditis. To the best of our knowledge, presented case is the first report of Sneathia sanguinegens detected in this condition. Molecular techniques were shown to be useful even in polymicrobial infective endocarditis samples.
Návaznosti
MUNI/A/1183/2015, interní kód MU |
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NV16-31593A, projekt VaV |
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