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  • Title: [Propionibacterium acnes infectious endocarditis].
    Author: Durupt S, Boibieux A, Ballet-Mechain M, Chaumentin G, Tremeau G, Roure C, Peyramond D.
    Journal: Presse Med; 1998 Nov 21; 27(36):1839-41. PubMed ID: 9856128.
    Abstract:
    BACKGROUND: 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. CASE REPORTS: 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. DISCUSSION: 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.
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