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Bacterial endocarditis caused by Oerskovia turbata.
Annals of Internal Medicine
|November 1, 1975
Summary
Oerskovia turbata, a soil actinomycete, caused a rare infection in a patient with an aortic valve homograft. Antimicrobial therapy failed, but valve replacement cured the infection, highlighting O. turbata as an opportunistic pathogen.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Cardiovascular Surgery
Background:
- Oerskovia turbata, a motile actinomycete, is typically found in soil.
- Previously, Oerskovia turbata was not known to cause disease in humans or animals.
Observation:
- Oerskovia turbata was isolated from blood cultures of a patient with a homograft aortic valve replacement.
- The patient's infection persisted despite antimicrobial therapy with ampicillin, sulfamethoxazole, and trimethoprim.
Findings:
- In vitro, the antibiotic combination was lethal to Oerskovia turbata.
- Surgical replacement of the infected homograft valve with a prosthetic valve led to the patient's cure.
- The source of Oerskovia turbata infection in this patient remains unknown.
Implications:
- Oerskovia turbata represents a potential opportunistic pathogen in humans.
- Sterilizing homograft valves effectively with antimicrobial solutions is challenging.
- Environmental contamination during cardiopulmonary bypass procedures poses a risk for opportunistic infections.
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