Corynebacterium Diphtheriae Endocarditis with Multifocal Septic Emboli: Can Prompt Diagnosis Help Avoid Surgery?
نویسندگان
چکیده
PATIENT Male, 23. FINAL DIAGNOSIS Corynebacterium diphtheriae endocarditis. SYMPTOMS Abdominal pain • cachexia • diarrhea • fever • vomiting. MEDICATION -. CLINICAL PROCEDURE Mitral valve replacement. SPECIALTY Surgery. OBJECTIVE Rare disease. BACKGROUND Although Corynebacterium diphtheriae is well known for causing diphtheria and other respiratory tract infections, in very rare cases it can lead to severe systemic disease. CASE REPORT This is a case of a previously healthy young man (no prosthetic valve in situ or other known congenital defect), presenting with a Corynebacterium diphtheriae infection leading to endocarditis. The patient reported no I.V. drug use, so it can be assumed that no risk factors for infective endocarditis were present. CONCLUSIONS This report aims to raise suspicion for this specific infection in order to proceed with the right treatment as soon as possible.
منابع مشابه
Screening tests for the presumptive identification of Corynebacterium diphtheriae in a diagnostic laboratory.
We were concerned to read the recent article by Pennie et al. (7) on the misidentification of toxigenic Corynebacterium diphtheriae as a Corynebacterium sp. with low virulence in a child with endocarditis. The paper raises several issues relating to current methods for the microbiological diagnosis of diphtheria. Firstly, specific guidelines on laboratory diagnosis have been issued by the World...
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