Multidrug resistant Staphylococcus epidermidis and Corynebacterium striatum were isolated from blood cultures of the patient.
📌 3 Key Takeaways
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Objective & Hypothesis:In our case report, we presented a case with polymicrobial endocarditis who was operated for mycotic aneursym two months ago and then followed up in the cardiology clinic because of palpitations related to effort.
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Key Findings & Data:In his transesophageal echocardiography 15 mm vegetations were detected on the aortic valve.
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Conclusion & Impact:Multidrug resistant Staphylococcus epidermidis and Corynebacterium striatum were isolated from blood cultures of the patient.
In our case report, we presented a case with polymicrobial endocarditis who was operated for mycotic aneursym two months ago and then followed up in the cardiology clinic because of palpitations related to effort. In his transesophageal echocardiography 15 mm vegetations were detected on the aortic valve. Multidrug resistant Staphylococcus epidermidis and Corynebacterium striatum were isolated from blood cultures of the patient.
Özet
Raporumuzda 2 ay önce mikotik anevrizma ameliyatı olan ve bu süre sonunda da eforla gelen çarpıntı nedeniyle kardiyoloji kliniğinde takibe alınan, transözefageal ekokardiyografisinde aort kapakta 15 mm'lik vejetasyon saptanan ve kan kültürlerinde çoğul dirençli Staphlycococcus epidermidis ve Corynebacterium striatum üretilen bir polimikrobiyal endokardit olgusu sunulmuştur.
KOCAZEYBEK, B., ÖZDER, A., KÜÇÜKATEŞ, E., KÜÇÜKOĞLU, S., YÜKSEL, H., OLGA, R. (2002). A case report about polymicrobial endocarditis related to multiple resistant strains. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, Cilt: 7 - Sayı: 3, 196–199. https://ajindex.com/articles/213602
Clarridge JE, Spigel CA. Corynebacterium and miscellaneous irregular gram-positive rods Erysipelothrix, and Gardnerella. In: Murray PR, Boron L, Pfaller MA, Tenover FC, Yolken RH (eds). Manual of Clinical Microbi ology. 6th ed.'Washington: ASM Press, 1995:357-78
Martinez-Martinez L, Suarez AL, Winstanley J, Ortega MC, Bernard K.Phenotypic characteristics of 31 strains of Corynebacterium striatum isolated from clinical samples. J Clin Microbiol 1985;28:8-10
Karchmer AW. Infective endocarditis. In: Braunwald E(ed). Heart Disease: A Textbook of Cardiovascular Medicine. 5* ed. Philadelphia: WB Saunders Company,1997:1077
Markowitz SM, Coudron PE. Native valve endocarditis caused by an organism resembling Corynebacterium striatum. J Clin Microbiol 1990;28:8-10
Rufael DW, Cohn SE. Native valve endocarditis due to Corynebacterium striatum: Case report and review. Clin Infect Dis 1994;19:1054-61
Ortega VME, Crego EA, Esquerdo GJ, Lahoz GJ. Polymicrobial endocarditis: A clinical and evolutive study of 12 cases diagnosed during a 10-year period. Rev Clin Esp 1997;197:245-7
Houry D, Crisman T. Bivalve polymicrobial infective endocarditis. South Med J 1999;92:1098-9
Baddour LM, Meyer J, Henry B. Polymicrobial infective endocarditis in the 1980s. Rev Infect Dis 1991;13:963-70
Mah MW, Shafran SD. Polymicrobial endocarditis with eight pathogens in an intravenous drug abuser. Scand J Infect Dis 1990;22:735-7
Reuben AG, Müsher DM, Hamili RJ, Broucke I. Poly microbial bacteremia: Clinical and microbiologic patterns. Rev Infect Dis 1989; 11:161-82
Petroche DC, Castello GJ, Lopez CA, et al. Polymicrobial endocarditis: Presentation of 3 cases. Ann Med Interna 1994;ll:142-4
Fernandez-Guerrero ML, Verdejo C, Azofra J, de Gorgolas M. Hospital acquired infectious endocarditis not associated with cardiac surgery: An emerging problem. Clin Infect Dis 1995;20:16
Aronson MD, Bor DH. Blood cultures. Ann Intern Med 1987;106:246-
Saravolatz LD, Burch KH, Quinn EL, Cox F, Madhavan T, Fisher E. Polymicrobial infective endocarditis: An increasing clinical entity. Am Heart J 1978;95:163-8
Roberts MC, Leonard RB, Briselden A, Schoenknecht FD, Coyle MB. Chracterization of antibiotic-resistant Corynebacterium striatum strains. J Antimicrob Chemother 1992;30:463-74.