Case of Indolent Endocarditis Due to Pseudomonas stutzeri with Genetic Evidence of Relapse after 4 Years

ABSTRACT Pseudomonas stutzeri, a gram-negative bacterium, is a common inhabitant of soil and water. We report an unusual case of a relapse of infective endocarditis due to P. stutzeri 4 years after the initial episode. The identity of the strains was proven by genomic analysis.

[1]  J. Lalucat,et al.  Biology of Pseudomonas stutzeri , 2006, Microbiology and Molecular Biology Reviews.

[2]  Vance G Fowler,et al.  Repeat infective endocarditis: differentiating relapse from reinfection. , 2005, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[3]  W. Wackernagel,et al.  Identification of complex composition, strong strain diversity and directional selection in local Pseudomonas stutzeri populations from marine sediment and soils. , 2002, Environmental microbiology.

[4]  M Grinberg,et al.  Relapses, recurrences, valve replacements, and mortality during the long-term follow-up after infective endocarditis. , 2001, American heart journal.

[5]  V. Fowler,et al.  Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis. , 2000, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[6]  L. Leibovici,et al.  Pseudomonas Stutzeri Causing Late Prosthetic Valve Endocarditis , 1987, Journal of the Royal Society of Medicine.