Three cases of Cutibacterium avidum prosthetic valve infective endocarditis at a single heart center

Niels Nørskov-Lauritsen*, Lars P.S. Riber, Esad Dzajic, Kenneth Prangsgaard

*Kontaktforfatter

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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Abstract

Objective: To resolve an exceptional clustering of Cutibacterium avidum prosthetic valve infective endocarditis (IE) at a single heart center. Methods: During a period of 21 months, three patients experienced C. avidum bacteremia 24-128 days after aortic valve replacement. Operative procedures and electronic prescriptions of antimicrobials were surveyed, and bacterial isolates were genome sequenced. Results: The prosthetic valves were inserted by separate surgical teams. In one case, echocardiographic confirmation of IE was not achieved until 4 months after the first positive blood culture, but the causative agents were irrefutably documented in all cases by culture, or amplification of bacterial deoxyribonucleic acid, from removed prosthetic material. Whole-genome sequencing clustered isolates to a distinctive subgroup of the species but did not suggest inter-patient transmission of isolates. Conclusions: Despite vigorous sampling of blood and tissue, detection of C. avidum was not unconditional, neither by culture nor polymerase chain reaction test. The causative agent is likely underreported and should be meticulously searched for in culture-negative prosthetic valve endocarditis.

OriginalsprogEngelsk
Artikelnummer107099
TidsskriftInternational Journal of Infectious Diseases
Vol/bind146
Antal sider4
ISSN1201-9712
DOI
StatusUdgivet - sep. 2024

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