Table 1

Evolutive acute infections: results of DMEI, DPE, culture of valve and clinical features and other biological parameters

patient

DMEI

Culture of the valve

Blood cultures

Blood cultures before

ATB

Intra-

during the cardiac

the cardiac surgery

before the surgery

cellular

surgery

(time)

bacteria

(3)

serology


DPE+

1

Neg

S. epidermidis

4 S. epidermidis

/

No

ND

2

++1

Neg

4 S aureus

S. aureus

Yes 4 weeks

ND

3

Neg

S. epidermidis

Neg

S. epidermidis

4

+++1

Neg

3 S. epidermidis

S. epidermidis

Yes 4 weeks

ND

5

+++1

Neg

Streptococcus sp2

Yes

ND

6

Neg

Neg

Neg

/

Yes

Neg

7

Neg

Neg

Neg

Streptococcus sp2

Yes 1 month

ND

8

+++1

Neg

ND

Neg

Yes 2 days

ND

9

+1

Neg

3 S. agalactiae

10

Neg

Neg

11

Neg

Neg

Neg

S. pneumoniae

Yes 1 month

ND

16

Neg

Neg

Neg

17

Neg

Neg

Neg

S. bovis

Yes > 1 month

ND

18

Neg

Neg

ND

ND

No

ND

19

Neg

P. acnes

ND

H. influenzae

Yes

Neg

20

Neg

P. aeruginosa + S. hominis

ND

Streptococcus sp2

Yes 2 months

ND

24

Neg

Neg

Neg

S. bovis

Yes 2 months

ND

Neg

Neg

DPE-

12

Neg

Neg

ND

Campylobacter sp

Yes

ND

13

Neg

Neg

Neg

S. agalactiae

Yes 1 month

ND

14

Neg

Neg

Neg

Enterococcus sp

Yes 1 month

ND

15

Neg

S. epidermidis

Neg

/

No

ND

21

Neg

Neg

Neg

Staphylococcus sp

Yes

ND

22

Neg

Neg

Neg

S. pneumoniae

Yes 1 month

ND

23

Neg

Neg

ND

E. faecium

Yes 5 days

ND


DPE = direct pathological examination; DMEI = direct microscopic examination of imprints; 1 legend in bacteriological processing section, in all cases corresponding to Gram positif cocci; 2 Streptococcus sp was identified as belonging to streptococci viridans group; 3 the number before the species means the number of positive blood cultures; the ATB = antibiotic; Neg = negative; ND = not done; retrospective study impossible for patients 3, 9, 10, 16.

Wallet et al. BMC Clinical Pathology 2001 1:6   doi:10.1186/1472-6890-1-6

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