Abstract:
We report a fatal case of Legionella feeleii endocarditis in a post-lung transplant patient. The diagnosis was delayed, as routine microbiological testing of nonrespiratory specimens does not account for extrapulmonary Legionella, and urine antigen testing only reliably detects Legionella pneumophila serogroup 1. This case also illustrates the utility of molecular sequencing for blood culture-negative endocarditis.
摘要:
我们报告了一例肺移植后患者的军团菌感觉心内膜炎的致命病例。诊断被推迟了,因为非呼吸道标本的常规微生物检测不考虑肺外军团菌,尿液抗原检测只能可靠地检测嗜肺军团菌血清群1。此案例还说明了分子测序在血液培养阴性心内膜炎中的实用性。