[Febrile myalgia revealing Propionibacterium acnes endocarditis]. / Myalgies fébriles révélant une endocardite infectieuse à Propionibacterium acnes.
Rev Med Interne
; 40(9): 613-616, 2019 Sep.
Article
in Fr
| MEDLINE
| ID: mdl-31229357
ABSTRACT
INTRODUCTION:
Propionibacterium acnes endocarditis is rare and difficult to diagnose. We report a case of Propioniacterium acnes endocarditis revealed by a lower limb fasciitis. CASE REPORT A 54-year-old patient presented with recurrent febrile myalgia of the lower limbs, that appeared three years after an aortic surgery (aortic valve sparing reimplentation and ascending aortic prosthesis implantation). Computer tomography showed fasciitis of both legs. Positron emission tomography showed 18Fluorodeoxyglucose intake of the aortic prosthesis and in muscles of the lower limbs. Ten days after blood sample drawing, cultures showed the presence of Propionibacterium acnes. The aortic prosthesis was surgically removed, whose culture confirmed infection by Propionibacterium acnes. The diagnosis of infective endocarditis revealed by lower limb emboli was made. Evolution was favorable.CONCLUSION:
In patients with vascular prostheses, Propionibacterium acnes infection must be evoked face to an atypical inflammatory process. Very prolonged blood culture incubation is needed to identify the pathogen.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Propionibacterium acnes
/
Gram-Positive Bacterial Infections
/
Endocarditis, Bacterial
Type of study:
Etiology_studies
/
Prognostic_studies
Limits:
Humans
/
Male
/
Middle aged
Language:
Fr
Journal:
Rev Med Interne
Year:
2019
Document type:
Article