Diagnosis of Cardiobacterium hominis endocarditis by broad-range PCR from arterio-embolic tissue

Infection. 1999;27(4-5):278-9. doi: 10.1007/s150100050030.

Abstract

A case of culture-negative endocarditis is reported, in which the diagnosis of Cardiobacterium hominis endocarditis was made from arterio-embolic tissue removed by percutaneous transluminal embolectomy by broadrange polymerase chain reaction amplification of the 16 rRNA gene, followed by single-strand sequencing. The use of this technique to identify etiologic agents from arterio-embolic material has not been reported so far. A serologic assay employing complement fixation against a crude antigen of Cardiobacterium hominis confirmed the diagnosis of endocarditis caused by this unusual fastidious etiologic agent.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / administration & dosage
  • Aortic Valve
  • Biopsy, Needle
  • Echocardiography, Doppler
  • Embolectomy
  • Embolism / microbiology*
  • Embolism / pathology
  • Endocarditis, Bacterial / diagnosis*
  • Endocarditis, Bacterial / microbiology*
  • Endocarditis, Bacterial / therapy
  • Follow-Up Studies
  • Gram-Negative Bacterial Infections / diagnosis*
  • Gram-Negative Bacterial Infections / therapy
  • Gram-Negative Facultatively Anaerobic Rods / isolation & purification*
  • Heart Valve Prosthesis
  • Humans
  • Male
  • Polymerase Chain Reaction
  • Popliteal Artery / microbiology*
  • Popliteal Artery / pathology

Substances

  • Anti-Bacterial Agents