Mycobacterium Fortuitum Device Infection with Subsequent Endocarditis

Abstract

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Mycobacterial endocarditis: a comprehensive review

“…The temperature of the febrile patients were 38.9±0.8℃ (n=12). Of the febrile patients, fever grade was not indicated in 22 [ 11 , 14 , 18 , 23 , 24 , 26 , 28 , 29 , 33 , 35 , 36 , 38 ] . In the remaining 13 patients, 5 (38.5%) had a high fever [ 12 , 17 , 19 , 20 , 22 , 29 ] , 5 (38.5%) had a moderate fever [ 13 , 15 , 21 , 25 , 34 ] and 3 (23.1%) had a low-grade fever [ 9 , 27 , 37 ] (χ 2 =0.9, P =0.630).…”

“…In the remaining 13 patients, 5 (38.5%) had a high fever [ 12 , 17 , 19 , 20 , 22 , 29 ] , 5 (38.5%) had a moderate fever [ 13 , 15 , 21 , 25 , 34 ] and 3 (23.1%) had a low-grade fever [ 9 , 27 , 37 ] (χ 2 =0.9, P =0.630). Of them, 4 were prolonged fever [ 24 , 35 , 36 ] and 2 were fever of unknown origin [ 14 , 16 ] .…”

“…The cardiac murmur was mentioned in 15 patients: a cardiac murmur in 12 (80%) (a pansystolic murmur at the apex in 5 [ 14 , 21 , 27 , 30 , 38 ] , a diastolic murmur in the aortic region in 2 [ 13 , 18 ] , a systolic murmur in the aortic region [ 36 ] , a pansystolic murmur at the apex + a diastolic murmur in the aortic region [ 25 ] , a pansystolic murmur at the apex + a systolic murmur in the aortic region [ 15 ] , a systolic murmur at the lower left sternal boarder [ 37 ] and an unspecified cardiac murmur [ 32 ] in 1 patient each) and an absence of a cardiac murmur in 3 (20%) patients [ 20 , 22 , 24 ] (χ 2 =10.8, P =0.001).…”

“…Laboratory examinations revealed their hemoglobin was 9.9±1.8 (range, 5.9-12.5; median, 10) g/L (n=10) [ 9 , 10 , 12 , 13 , 15 , 18 , 20 , 27 , 30 , 36 , 38 ] , white blood cell count was 8.9±4.4 (range, 3.3-16.8; median, 8.2) ×10 9 /L (n=13) [ 9 , 10 , 13 , 15 , 20 - 22 , 24 , 27 , 28 , 30 , 33 , 38 ] , platelet count was 165.6±128.7 (range, 67-450; median, 124)×10 9 /L (n=7) [ 10 , 13 , 15 , 18 , 20 , 27 , 38 ] , C-reaction protein was 6.8±4.7 (range, 0.14-11; median, 8) mg/dL (n=4) [ 10 , 20 , 27 , 28 ] , and CD4 was 240.5 ± 206.3 (range, 44-587; median 196)/mm 3 (n=6) [ 9 , 10 , 13 , 14 , 19 , 37 ] . CD4 was normal (>500/mm 3 ) in 1 (16.7%) patient, and was abnormal (<500/mm 3 ) in 5 (83.3%) patients (χ 2 =5.3, P =0.021).…”

“…The search identified 31 relevant studies from 2000 to 2013 [ 7 , 9 - 38 ] , including 24 case reports [ 7 , 9 , 10 , 12 , 13 , 15 , 17 - 22 , 24 - 28 , 30 - 33 , 36 - 38 ] , 2 case series [ 14 , 23 ] , 2 original articles [ 11 , 34 ] , 1 medical imaging [ 16 ] , 1 poster abstract session [ 29 ] , and 1 "letter to the editor" [ 35 ] . After reviewing selected articles, all 31 articles were included and no one was excluded.…”