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. 2016 Oct 24;54(11):2825–2831. doi: 10.1128/JCM.01240-16

TABLE 3.

Overview of discordant molecular results submitted to resolution testing, double false-negative molecular results, and molecular detection of additional microorganisms in 10 definite infective endocarditis patients

Patient Valve culture result Blood culture result PCR-ESI-MS result 16S rRNA PCR result Definite microbiological cause
1 S. mitis, Staphylococcus hominis,a and Corynebacterium spp.a S. mitis Enterococcus spp. S. mitisb/S. mitise S. mitis
2 Negative S. epidermidisa (two bottles out of 40 BC sets) Viridans Streptococcus spp. and P. acnesc Negativeb,d/S. mitise viridans Streptococcus spp.
3 Negative Negative P. acnes Negativeb,d/Negatived,e Unknownf
4 Negative Negative Negatived Negatived Unknownf
5 Negative Negative Negatived Negatived Unknownf
6 Negative S. epidermidis Negatived Negatived S. epidermidis
7 Negative S. mitis and Streptococcus parasanguinis Negatived Negatived Viridans Streptococcus spp.
8 Negative Streptococcus constellatus viridans or anginosus Streptococcus spp. S. constellatus and P. micrac S. constellatus
9 Negative S. epidermidis S. epidermidis and S. capraec S. epidermidis S. epidermidis
10 Negative Staphylococcus capitis S. capitis and S. saccharolyticusc S. capitis S. capitis
a

This result was considered to be contamination.

b

This was a discordant molecular result.

c

Detection of additional microorganisms by one molecular method occurred.

d

This was considered a false negative molecular result.

e

This was the result of resolution testing after one freeze-thaw cycle.

f

Definite infective endocarditis was confirmed by histologic examination of the valve.