KOTÁSKOVÁ, Iva, Petr NĚMEC, Martina VANĚRKOVÁ, Barbora MALIŠOVÁ, Renata TEJKALOVÁ, Marek ORBAN, Víta ŽAMPACHOVÁ and Tomáš FREIBERGER. First report of Sneathia sanguinegens together with Mycoplasma hominis in postpartum prosthetic valve infective endocarditis: a case report. BMC INFECTIOUS DISEASES. London: BIOMED CENTRAL LTD, 2017, vol. 17, August, p. nestránkováno, 7 pp. ISSN 1471-2334. Available from: https://dx.doi.org/10.1186/s12879-017-2654-8.
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Basic information
Original name First report of Sneathia sanguinegens together with Mycoplasma hominis in postpartum prosthetic valve infective endocarditis: a case report
Authors KOTÁSKOVÁ, Iva (203 Czech Republic, belonging to the institution), Petr NĚMEC (203 Czech Republic), Martina VANĚRKOVÁ (203 Czech Republic), Barbora MALIŠOVÁ (203 Czech Republic), Renata TEJKALOVÁ (203 Czech Republic, belonging to the institution), Marek ORBAN (203 Czech Republic), Víta ŽAMPACHOVÁ (203 Czech Republic, belonging to the institution) and Tomáš FREIBERGER (203 Czech Republic, guarantor, belonging to the institution).
Edition BMC INFECTIOUS DISEASES, London, BIOMED CENTRAL LTD, 2017, 1471-2334.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30300 3.3 Health sciences
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 2.620
RIV identification code RIV/00216224:14740/17:00095651
Organization unit Central European Institute of Technology
Doi http://dx.doi.org/10.1186/s12879-017-2654-8
UT WoS 000407590900002
Keywords in English Infective endocarditis; Postpartum endocarditis; Sneathia; Mycoplasma; Polymicrobial infections
Tags OA, rivok
Tags International impact, Reviewed
Changed by Changed by: Ing. Kateřina Ornerová, Ph.D., učo 116800. Changed: 5/12/2017 13:33.
Abstract
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.
Links
MUNI/A/1183/2015, interní kód MUName: Patogeneze a léčba humorální imunodeficiencí
Investor: Masaryk University, Category A
NV16-31593A, research and development projectName: Polymikrobiální biofilm jako komplexní mikrobiom v rámci léčby nozokomiálních infekcí
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