title: Pacemaker endocarditis due to Propionibacterium acnes.
abstract: Propionibacterium acnes belongs to the cutaneous flora of humans; it is often considered to be contaminant but has also been found to be a pathogen in human diseases. It is an uncommon causal agent in infective endocarditis and appears to have a predilection for prosthetic valves and foreign bodies. We describe a case of pacemaker endocarditis which shows that so-called harmless bacteria like P. acnes must be considered to be potential pathogens.
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine I, University, Hospital of Vienna,Währinger Gürtel 18-20, A-1090 Vienna, Austria. konstantin.zedtwitz-liebenstein@akh-wien.ac.at
authors.forename: K
authors.initials: K
authors.lastname: Zedtwitz-Liebenstein
authors.forename: H
authors.initials: H
authors.lastname: Gabriel
authors.forename: W
authors.initials: W
authors.lastname: Graninger
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002097:C-Reactive Protein / Q000032:analysis; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D005500:Follow-Up Studies; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011425:Propionibacterium acnes / Q000302:isolation & purification*; D018570:Risk Assessment; D012720:Severity of Illness Index
chemical_list: D000900:Anti-Bacterial Agents; D002097:C-Reactive Protein