Right-sided bacterial endocarditis due to Flavobacterium odoratum in a patient on chronic hemodialysis

Bacterial endocarditis, particularly involving the left side, has been shown to occur in patients in regular hemodialysis. We report a case of right-sided endocarditis characterized by a very torpid evolution. Although the diagnosis was suspected early in the course, confirmation was obtained 2 mont...

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Bibliographic Details
Published in:	American journal of nephrology Vol. 15; no. 1; p. 82
Main Authors:	Ferrer, C, Jakob, E, Pastorino, G, Juncos, L I
Format:	Journal Article
Language:	English
Published:	Switzerland 1995
Subjects:	Endocarditis, Bacterial - diagnostic imaging Endocarditis, Bacterial - microbiology Female Flavobacterium - isolation & purification Gram-Negative Bacterial Infections - diagnosis Humans Kidney Failure, Chronic - therapy Middle Aged Renal Dialysis Ultrasonography
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Summary:	Bacterial endocarditis, particularly involving the left side, has been shown to occur in patients in regular hemodialysis. We report a case of right-sided endocarditis characterized by a very torpid evolution. Although the diagnosis was suspected early in the course, confirmation was obtained 2 months after the onset. Flavobacterium odoratum was identified in the fourth month of evolution and only after multiple blood cultures had been obtained. We believe the very low infectivity of F. odoratum and its very slow growth in culture media prevented an early diagnosis.
ISSN:	0250-8095
DOI:	10.1159/000168806