scholarly journals Treponema Whipplei Endocarditis Masquerading as a Calcified Amorphous Aortic Valve Tumor

Author(s):  
Elian Massoud ◽  
Justin Watson ◽  
Amy Fiedler

Whipple’s endocarditis is a rare culture-negative endocarditis caused by Tropheryma whipplei, an intracellular gram-positive organism. Here, we present a case of a 60-year-old male who presented with transient ischemic attack and was found to have an aortic valve mass. Following successful excision, histopathologic assessment of the lesion was consistent with calcified amorphous aortic tumor, a rare non-neoplastic hamartomatous mass of the heart. However, 16s rRNA and 18s rRNA sequencing detected Tropheryma whipplei, and the diagnosis of Whipple’s endocarditis was made.

2021 ◽  
Vol 12 ◽  
Author(s):  
Isabelle B. Fournier ◽  
Connie Lovejoy ◽  
Warwick F. Vincent

Salinization of freshwater is increasingly observed in regions where chloride de-icing salts are applied to the roads in winter, but little is known about the effects on microbial communities. In this study, we analyzed the planktonic microbiomes of four lakes that differed in degree of urbanization, eutrophication and salinization, from an oligotrophic reference lake with no surrounding roads, to a eutrophic, salinized lake receiving runoff from a highway. We tested the hypothesis that an influence of road salts would be superimposed on the effects of season and trophic status. We evaluated the microbial community structure by 16S rRNA sequencing for Bacteria, and by four methods for eukaryotes: 16S rRNA chloroplast analysis, 18S rRNA sequencing, photosynthetic pigment analysis and microscopy. Consistent with our hypothesis, chloride and total nitrogen concentrations were among the most important statistical factors explaining the differences in taxonomic composition. These factors were positively correlated with the abundance of cryptophytes, haptophytes, and cyanobacteria. Ice-cover was also a major structuring factor, with clear differences between the winter communities and those of the open-water period. Nitrifying and methane oxidizing bacteria were more abundant in winter, suggesting the importance of anaerobic sediment processes and release of reduced compounds into the ice-covered water columns. The four methods for eukaryotic analysis provided complementary information. The 18S rRNA observations were strongly influenced by the presence of ribosome-rich ciliates, but revealed a much higher degree of taxonomic richness and greater separation of lakes, seasonal changes and potential salinity effects than the other methods.


Author(s):  
Silke Knol ◽  
Rogier L Nijhuis ◽  
Felix Geeraedts ◽  
Gerard Linssen

Case description: A 67-year-old man was admitted with progressive heart failure, due to blood culture-negative endocarditis of the aortic valve. In early course, urgent aortic valve replacement was needed. A polymerase chain reaction test (PCR) on samples of the explanted aortic valve revealed Tropheryma whipplei. He received ceftriaxone, followed by long-term co-trimoxazole. Recent arthralgia may have been a diagnostic clue. Conclusion: Whipple’s endocarditis should be assessed in patients with arthralgia and blood culture-negative endocarditis (BCNIE).


2020 ◽  
Vol 20 (4) ◽  
pp. 412-416
Author(s):  
Rebecca Godfrey ◽  
Sally Curtis ◽  
William HK Schilling ◽  
P Rachael James

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Richard M. Elias ◽  
Shiao Yen Khoo ◽  
Jakrapun Pupaibool ◽  
Ju-Hsien Nienaber ◽  
Nathan W. Cummins

Anaerobic gram-positive bacilli can occasionally be implicated in infections but are difficult to identify in culture by conventional biochemical methods. We report a case of liver abscesses caused byEggerthella lenta, identified via 16S rRNA sequencing in a previously healthy patient, successfully treated with percutaneous drainage and ertapenem.


2018 ◽  
Vol 101 (6) ◽  
pp. 1757-1762 ◽  
Author(s):  
Irshad M Sulaiman ◽  
Ying-Hsin Hsieh ◽  
Emily Jacobs ◽  
Nancy Miranda ◽  
Steven Simpson ◽  
...  

Abstract Background: Lysinibacillus fusiformis is a Gram-positive, rod-shaped bacterium that can cause tropical ulcers, severe sepsis, and respiratory illnesses in humans. Objective: In this study, we analyzed cosmetic samples for the presence of human pathogenic microorganisms. Methods: Five unopened jars of exfoliating cream were examined initially by microbiological methods. Afterward, matrix-assisted laser desorption ionization-time-of-flight (MALDI-TOF) MS and 16S ribosomal RNA (rRNA) sequencing techniques were applied to characterize the recovered isolates. Results: Of the eight recovered Gram-positive bacterial subs, the VITEK® MS could provide genus-level identification to five subs and species-level identification to two subs (L. fusiformis with a 99.9% confidence value); one sub was unidentified. Subsequently, the deoxyriboneucleic acid sequencing of the 16S rRNA gene was done on an ABI 3500XL Genetic Analyzer for the confirmation of species identification. An analysis of sequencing data revealed a complete absence of genetic variation among the eight subs sequenced at this locus and confirmed the eight bacterial subs to be L. fusiformis, as their respective 16S rRNA sequences were identical to the available sequence in public domain (GenBank accession No. KU179364). Conclusions: Our results suggest that the VITEK MS and the 16S rRNA sequencing can be used for the identification of human pathogenic bacteria of public health importance. Highlights: We characterized eight isolates of Lysinibacillus spp. from cosmetics by MALDI-TOF MS and 16S rRNA sequence analyses.


2011 ◽  
Vol 140 (4) ◽  
pp. 684-688 ◽  
Author(s):  
S. BULLMAN ◽  
J. O'LEARY ◽  
D. CORCORAN ◽  
R. D. SLEATOR ◽  
B. LUCEY

SUMMARYFrom January 2009 to May 2010, 436 faecal samples from patients with diarrhoeal illness in Southern Ireland were identified asCampylobactergenus-positive by an automated multiplex PCR; however, 204 (46·8%) of these samples were culture-negative for campylobacters. A combination ofCampylobacter-specific uniplex PCR and 16S rRNA sequencing confirmed the presence ofCampylobacterDNA in 191 (93·6%) of the culture-negative samples. Species-specific PCR identifiedC. jejuni(50·7%)C. ureolyticus(41%) andC. coli(5·7%) as the most prevalent species whileC. fetus,C. upsaliensis,C. hyointestinalisandC. lariaccounted for 10% of culture-negative samples; mixedCampylobacterspp. were detected in 11% of samples. We conclude that non-culturableCampylobacterspp. are responsible for a considerable proportion of human enteritis and the true incidence of infection is likely to be significantly underestimated where conventionalCampylobacterculture methods are used in isolation.


Pathology ◽  
2016 ◽  
Vol 48 ◽  
pp. S104
Author(s):  
Caitlin Keighley ◽  
Jonathan Emerson ◽  
Sharon Chen ◽  
Don Packham

Pathology ◽  
2011 ◽  
Vol 43 (5) ◽  
pp. 513-515
Author(s):  
Cecilia T. Costiniuk ◽  
Bing Wang ◽  
Daniel Johnstone ◽  
Peter Jessamine ◽  
Baldwin Toye ◽  
...  

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