Propionibacterium acnes infectious endocarditis

Propionibacterium acnes, a Gram positive microaerophilic bacteria is considered to have a low level of virulence. Nevertheless, it can be associated with infective endocarditis. We report 2 cases and a review of the literature. The first man developed an acute prosthetic valve infective endocarditis...

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Bibliographic Details
Published inLa Presse médicale (1983) Vol. 27; no. 36; p. 1839
Main Authors Durupt, S, Boibieux, A, Ballet-Mechain, M, Chaumentin, G, Tremeau, G, Roure, C, Peyramond, D
Format Journal Article
LanguageFrench
Published France 21.11.1998
Subjects
Discitis - diagnosis
Discitis - microbiology
Endocarditis, Bacterial - diagnosis
Endocarditis, Bacterial - microbiology
Fatal Outcome
Gram-Positive Bacterial Infections - diagnosis
Gram-Positive Bacterial Infections - microbiology
Heart Valve Prosthesis - microbiology
Humans
Male
Middle Aged
Propionibacterium acnes - pathogenicity
Prosthesis-Related Infections - diagnosis
Prosthesis-Related Infections - microbiology
Virulence
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Summary:Propionibacterium acnes, a Gram positive microaerophilic bacteria is considered to have a low level of virulence. Nevertheless, it can be associated with infective endocarditis. We report 2 cases and a review of the literature. The first man developed an acute prosthetic valve infective endocarditis and died. The second case was also a prosthetic valve infective endocarditis in a patient who developed infectious spondylitis. P. acnes is an uncommon causal agent in infective endocarditis and appears to have a predilectio for prosthetic valves. A prior history of skin infection is rare. P. acnes grow quite slowly, often requiring 7 to 14 days for identification. All isolates of P. acnes from blood or valve do not necessarily mean contamination.
ISSN:0755-4982