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Propionibacterium acnes as a cause of aggressive aortic valve endocarditis and importance of tissue grinding: case report and review.

Department of Medicine, University Hospital of Zürich, Switzerland.

ABSTRACT

A case of prosthetic valve endocarditis with Propionibacterium acnes is described. The diagnosis was documented by histology and isolation of P. acnes from both blood and anulus tissue. Grinding of the tissue, which was first omitted to avoid contamination, was indispensable for cultivating the agent. The literature for P. acnes endocarditis is reviewed.

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• Hinestrosa, F., Djurkovic, S., Bourbeau, P. P., Foltzer, M. A. (2007). Propionibacterium acnes as a Cause of Prosthetic Valve Aortic Root Abscess. J. Clin. Microbiol. 45: 259-261 [Abstract] [Full Text]  
• Clayton, J. J., Baig, W., Reynolds, G. W., Sandoe, J. A. T. (2006). Endocarditis caused by Propionibacterium species: a report of three cases and a review of clinical features and diagnostic difficulties.. J Med Microbiol 55: 981-987 [Abstract] [Full Text]