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Acute dehiscence of a valve prosthesis 5 years after implantation.
- Source :
-
International journal of cardiology [Int J Cardiol] 2007 Apr 25; Vol. 117 (2), pp. e79-81. Date of Electronic Publication: 2007 Feb 22. - Publication Year :
- 2007
-
Abstract
- Propionibacterium acnes, a common human skin organism [Perry A.L., Lambert P.A., Under the microscope Propionibacterium acnes, Lett App Microbiol 2006; 42:185-186], mostly considered a contaminant, has rarely been associated with cases of infectious endocarditis [Vanagt W.Y., Daenen W.J., Delhaas T., Propionibacterium acnes endocarditis on an annuloplasty ring in an adolescent boy, Heart 2004; 90:56]. We report on a 48-year old man with a history of mitral valve replacement who acutely developed dyspnoea, tachypnoea and forward failure. Transesophageal echocardiography showed a dehiscence of the St. Jude mechanical mitral prosthesis necessitating urgent surgery. The prosthesis was replaced by another St. Jude mechanical valve. Blood cultures were initially negative but after a prolonged incubation period the tissue cultures became positive for Propionibacterium acnes. In cases of valvular dehiscence without macroscopic signs of endocarditis, communication between clinicians and the laboratory is important in order to incubate blood and tissue samples for a longer period of time to be able to detect exceptional causes of endocarditis.
- Subjects :
- Heart Valve Prosthesis adverse effects
Humans
Male
Middle Aged
Mitral Valve
Time Factors
Endocarditis, Bacterial complications
Gram-Positive Bacterial Infections complications
Heart Valve Prosthesis microbiology
Propionibacterium acnes
Prosthesis-Related Infections complications
Surgical Wound Dehiscence microbiology
Subjects
Details
- Language :
- English
- ISSN :
- 1874-1754
- Volume :
- 117
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- International journal of cardiology
- Publication Type :
- Report
- Accession number :
- 17320207
- Full Text :
- https://doi.org/10.1016/j.ijcard.2006.11.166