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J Clin Microbiol ; 44(3): 1187-9, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16517928

RESUMO

We report the third case of endocarditis caused by the newly described micrococcal species Kytococcus schroeteri. A 49-year-old woman was admitted to the hospital with suspected prosthetic valve endocarditis. Five blood cultures and prosthetic valve cultures grew the same type of organism, initially identified as Micrococcus sp. Assignment to the genus Kytococcus was suggested by the arginine dihydrolase activity and resistance to oxacillin. After sequencing of the 16S rRNA genes, the isolate was recognized as K. schroeteri. The patient was treated first with vancomycin combined with gentamicin and later with pristinamycin and rifampin. Three cases of K. schroeteri endocarditis described within a short period of time might indicate a specific pathogenicity of this new species. The isolation of kytococci from normally sterile sites should not be overlooked.


Assuntos
Infecções por Actinomycetales/microbiologia , Actinomycetales/patogenicidade , Endocardite Bacteriana/microbiologia , Actinomycetales/genética , Actinomycetales/isolamento & purificação , Infecções por Actinomycetales/etiologia , Sequência de Bases , DNA Bacteriano/genética , DNA Ribossômico/genética , Endocardite Bacteriana/etiologia , Feminino , Genes Bacterianos , Próteses Valvulares Cardíacas/efeitos adversos , Humanos , Pessoa de Meia-Idade , RNA Bacteriano/genética , RNA Ribossômico 16S/genética
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