Silent native-valve endocarditis caused by Propionibacterium acnes

Rintaro Yamamoto; Shigeru Miyagawa; Hideharu Hagiya; Keigo Kimura; Isao Nishi; Norihisa Yamamoto; Hisao Yoshida; Yukihiro Akeda; Kazunori Tomono; Koichi Toda; Yoshiki Sawa

doi:10.2169/internalmedicine.9833-17

Silent native-valve endocarditis caused by Propionibacterium acnes

Rintaro Yamamoto, Shigeru Miyagawa, Hideharu Hagiya, Keigo Kimura, Isao Nishi, Norihisa Yamamoto, Hisao Yoshida, Yukihiro Akeda, Kazunori Tomono, Koichi Toda, Yoshiki Sawa

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

Abstract

We describe a rare case of Propionibacterium acnes native-valve endocarditis that silently progressed in a 67-year-old man with hybrid dialysis. The patient was scheduled for kidney transplantation, and pre-operative investigation incidentally detected a vegetative structure at his native mitral valve that had increased in size. He underwent cardiac surgery and P. acnes was detected in cultures of a resected cardiac valve specimen and blood. This case highlights that P. acnes can silently cause infective endocarditis in a native-valve, and that physicians should consider the possibility of infection when P. acnes is isolated in blood cultures.

Original language	English
Pages (from-to)	2417-2420
Number of pages	4
Journal	Internal Medicine
Volume	57
Issue number	16
DOIs	https://doi.org/10.2169/internalmedicine.9833-17
Publication status	Published - 2018
Externally published	Yes

Keywords

Anaerobe
Hemodialysis
Infective endocarditis
Native valve
Propionibacterium acnes

ASJC Scopus subject areas

Internal Medicine

Access to Document

10.2169/internalmedicine.9833-17

Cite this

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title = "Silent native-valve endocarditis caused by Propionibacterium acnes",

abstract = "We describe a rare case of Propionibacterium acnes native-valve endocarditis that silently progressed in a 67-year-old man with hybrid dialysis. The patient was scheduled for kidney transplantation, and pre-operative investigation incidentally detected a vegetative structure at his native mitral valve that had increased in size. He underwent cardiac surgery and P. acnes was detected in cultures of a resected cardiac valve specimen and blood. This case highlights that P. acnes can silently cause infective endocarditis in a native-valve, and that physicians should consider the possibility of infection when P. acnes is isolated in blood cultures.",

keywords = "Anaerobe, Hemodialysis, Infective endocarditis, Native valve, Propionibacterium acnes",

author = "Rintaro Yamamoto and Shigeru Miyagawa and Hideharu Hagiya and Keigo Kimura and Isao Nishi and Norihisa Yamamoto and Hisao Yoshida and Yukihiro Akeda and Kazunori Tomono and Koichi Toda and Yoshiki Sawa",

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doi = "10.2169/internalmedicine.9833-17",

language = "English",

volume = "57",

pages = "2417--2420",

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TY - JOUR

T1 - Silent native-valve endocarditis caused by Propionibacterium acnes

AU - Yamamoto, Rintaro

AU - Miyagawa, Shigeru

AU - Hagiya, Hideharu

AU - Kimura, Keigo

AU - Nishi, Isao

AU - Yamamoto, Norihisa

AU - Yoshida, Hisao

AU - Akeda, Yukihiro

AU - Tomono, Kazunori

AU - Toda, Koichi

AU - Sawa, Yoshiki

PY - 2018

Y1 - 2018

N2 - We describe a rare case of Propionibacterium acnes native-valve endocarditis that silently progressed in a 67-year-old man with hybrid dialysis. The patient was scheduled for kidney transplantation, and pre-operative investigation incidentally detected a vegetative structure at his native mitral valve that had increased in size. He underwent cardiac surgery and P. acnes was detected in cultures of a resected cardiac valve specimen and blood. This case highlights that P. acnes can silently cause infective endocarditis in a native-valve, and that physicians should consider the possibility of infection when P. acnes is isolated in blood cultures.

AB - We describe a rare case of Propionibacterium acnes native-valve endocarditis that silently progressed in a 67-year-old man with hybrid dialysis. The patient was scheduled for kidney transplantation, and pre-operative investigation incidentally detected a vegetative structure at his native mitral valve that had increased in size. He underwent cardiac surgery and P. acnes was detected in cultures of a resected cardiac valve specimen and blood. This case highlights that P. acnes can silently cause infective endocarditis in a native-valve, and that physicians should consider the possibility of infection when P. acnes is isolated in blood cultures.

KW - Anaerobe

KW - Hemodialysis

KW - Infective endocarditis

KW - Native valve

KW - Propionibacterium acnes

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Silent native-valve endocarditis caused by Propionibacterium acnes

Abstract

Keywords

ASJC Scopus subject areas

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