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Moraxella osloensis, an emerging pathogen of endocarditis in immunocompromised patients?
Jean-Charles Gagnard1, Nadia Hidri2, Antoine Grillon3
1Infectious Diseases Department, Limoges Teaching Hospital, France.
Abstract:
We report two cases of endocarditis due to Moraxella osloensis. Only one previous case of such infection has been described. These infections occurred in immunocompromised patients (B-cell chronic lymphocytic leukaemia and kidney graft associated with Hodgkin's disease) and both patients had a favourable outcome with a complete cure of their infectious endocarditis. This bacterium could be an emerging pathogen revealed by MALDI-TOF. Indeed, its characterisation within the Moraxella group by use of biochemistry-based methods is difficult. Moreover, this strain could be particularly involved in immunocompromised patients.
Insights
Moraxella osloensis endocarditis is rare, with only two reported cases. Both immunocompromised patients recovered fully, suggesting this bacterium may be an emerging pathogen in vulnerable populations.
Area of Science:
- Infectious Diseases
- Microbiology
- Clinical Medicine
Background:
- Endocarditis is a serious infection, typically caused by common bacterial pathogens.
- Infections caused by Moraxella osloensis are infrequently reported in medical literature.
Observation:
- Two cases of endocarditis caused by Moraxella osloensis in immunocompromised patients are presented.
- One patient had B-cell chronic lymphocytic leukemia, and the other had a kidney graft associated with Hodgkin's disease.
Findings:
- Both patients experienced a favorable outcome, achieving a complete cure of their infectious endocarditis.
- Moraxella osloensis may be an emerging pathogen, particularly in immunocompromised individuals.
- MALDI-TOF mass spectrometry aids in identifying this bacterium, as biochemical methods are challenging.
Implications:
- This study highlights Moraxella osloensis as a potential cause of endocarditis in immunocompromised patients.
- Improved diagnostic methods like MALDI-TOF are crucial for recognizing less common pathogens.
- Further research is warranted to understand the prevalence and clinical significance of Moraxella osloensis infections.
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