TABLE 3.
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 |
This result was considered to be contamination.
This was a discordant molecular result.
Detection of additional microorganisms by one molecular method occurred.
This was considered a false negative molecular result.
This was the result of resolution testing after one freeze-thaw cycle.
Definite infective endocarditis was confirmed by histologic examination of the valve.