Culture-Negative Prosthetic Valve Endocarditis with Concomitant Septicemia Due to a Nontoxigenic Corynebacterium diphtheriae Biotype Gravis Isolate in a Patient with Multiple Risk Factors
Author(s) -
Lani Clinton,
Matthew J. Bankowski,
Teppei Shimasaki,
Wichit SaeOw,
A. Christian Whelen,
Norman P. O’Connor,
Wesley Kim,
Royden S. Young
Publication year - 2013
Publication title -
journal of clinical microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.349
H-Index - 255
eISSN - 1070-633X
pISSN - 0095-1137
DOI - 10.1128/jcm.01403-13
Subject(s) - corynebacterium diphtheriae , microbiology and biotechnology , biology , corynebacterium , bacteremia , endocarditis , diphtheria , virology , medicine , bacteria , antibiotics , vaccination , genetics
A 54-year-old female with a prosthetic mitral valve presented with a 3-day history of dizziness, subjective fever, and chills. Blood cultures were positive for a pleomorphic Gram-positive rod. Initial phenotypic testing could only support the identification of a Corynebacterium species. Nucleic acid sequencing (16S rRNA) and matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) were conclusive for Corynebacterium diphtheriae. Definitive phenotypic testing classified the strain as nontoxigenic C. diphtheriae biotype Gravis.
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