title: Propionibacterium acnes endocarditis of a prosthetic aortic valve.
abstract: In the few reported cases of Propionibacterium infective endocarditis involving prosthetic aortic valves, abscess is common and frequently requires surgery. We report a case of P. acnes infective endocarditis identified on prolonged blood cultures with aortic root abscess involving a Starr-Edwards valve. Intravenous antibiotics and valve replacement led to recovery.
authors.affiliation: Cardiology Department, Nottingham City Hospital, Trent Cardiac Centre, Nottingham, UK. richlist@gmail.com
authors.forename: Richard J
authors.initials: RJ
authors.lastname: List
authors.forename: Nabeel
authors.initials: N
authors.lastname: Sheikh
authors.forename: Thomas
authors.initials: T
authors.lastname: Theologou
authors.forename: Ian M
authors.initials: IM
authors.lastname: Mitchell
authors.forename: Thomas
authors.initials: T
authors.lastname: Mathew
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D020878:Device Removal; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011425:Propionibacterium acnes / Q000302:isolation & purification*; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D012086:Reoperation; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents