Expect the unexpected: endocarditis caused by Legionella feeleii.

Angelica Moran, Dennise E Otero Espinal, Megan Parilla, Kathleen G Beavis, Kathleen M Mullane, Vera Tesic
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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.

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出乎意料:费雷军团菌引发的心内膜炎。
我们报告了一例肺移植术后患者罹患费列军团菌心内膜炎的致命病例。由于对非呼吸道标本的常规微生物检测不能发现肺外军团菌,而尿液抗原检测只能可靠地检测出嗜肺军团菌血清 1 群,因此诊断被延误了。 本病例还说明了分子测序在血培养阴性心内膜炎中的应用。
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