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Table 4 Results from 10 PCR-positive clinical specimens with suspected endocarditis

From: Comparison of an automated DNA extraction and 16S rDNA real time PCR/sequencing diagnostic method using optimized reagents with culture during a 15-month study using specimens from sterile body sites

Material

Clinical information

PCR

Culture

Antibioticsb

Microscopy

Cp and copy number

Valve replacement with vegetations

acute “prosthetic valve endocarditis” after dentist

Cutibacterium acnes

negative (blood culture not available)

Augmentin, rimactan, zyvoxid

negative

Cp 30.44

3 copies 16S rDNA

Aortic valve

severe aortic regurgitation with thrombus situation after embolization duration of illness: 4 months

Cardiobacterium hominis

negative (blood culture not available)

none

negative

Cp 24.79

3 copies 16SrDNA

Aortic valve

endocarditis with S.mutans

Streptococcus mutans

negative (blood cultures with S.mutans 18 days ago)

Penicillin G, gentamycin

negative

Cp 22.94

5 copies 16S rDNA

Aortic valve

both valves involved mitral valve: PCR negative

Staphylococus coagulase negative

negative (blood culture not available)

Floxapen (since 2 days)

negative

Cp 26.70

~ 6 copies 16S rDNA

Aortic valve

endocarditis aortic and mitral valve

Staphylococcus epidermidis

S. epidermidis (only in enrichment culture)

(blood cultures with S.epidermidis 2 and 3 days ago)

Vanco, tazobac

not done

Cp 24.57

6 copies 16S rDNA

Mitral valve

endocarditis mitral valve with E.faecalis

Enterococcus faecalis

E. faecalis (only in anaerobic culture)

(blood culture with E.faecalis analyzed previously by another laboratory)

Clamoxyl/vancocin

negative

Cp 25.47

4 copies 16S rDNA

Mitral valvea

endocarditis mitral valve

Streptococcus mitis group

negative (blood culture not available)

no information

gram pos. Cocci ++

Cp 22.36

4 copies 16S rDNA

Tricuspid valvea

endocarditis mitral valve

Streptococcus mitis group

negative (blood culture not available)

no information

gram pos. Cocci ++

Cp 23.13

4 copies 16S rDNA

Aortic valve

bicuspid aortic valve endocarditis

Abiotropha defectiva

negative (blood culture not available)

no information

negative

Cp 27.63

4 copies 16S rDNA

Mitral valve

severe insufficiency of mitral valve

Streptococcus mutans

negative (blood culture not available)

no information

gram pos. Cocci ++

Cp 27.35

5 copies 16S rDNA

  1. Clinical information according to the client. Culture includes aerobic incubation on plates, anaerobic incubation on plates and enrichment culture with liquid medium. Previously taken blood cultures are listed additionally. The date of positive blood culture refers to the date of registration of clinical specimens in our laboratory
  2. aSame patient
  3. bPrior to sending to the laboratory, according to the client