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Native Mitral Valve Endocarditis Caused by Neisseria elongata subsp. nitroreducens in a Patient with Marfan Syndrome: First Case in Italy and Review of the Literature.

ABSTRACT: Neisseria elongata (NE) is an aerobic Gram-negative organism that constitutes part of the commensal human normal oropharyngeal flora. Although previously considered not to be pathogenic, it has been recognized as an occasional cause of significant infections in humans. We report here the first case in Italy of infective endocarditis of a native prolapsing mitral valve in a patient with Marfan syndrome, caused by NE subspecies nitroreducens which has been rarely isolated from clinical specimens. The culprit organism has been confirmed by mass spectrometry directly from the positive blood culture, as previously reported. The amplified gene has been deposited in GenBank under accession number KT591873. In spite of the reported aggressive nature of NE, clinical remission was promptly obtained, there being no requirement for surgery.

SUBMITTER: Rossella P 

PROVIDER: S-EPMC5075605 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature

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Native Mitral Valve Endocarditis Caused by <i>Neisseria elongata</i> subsp. <i>nitroreducens</i> in a Patient with Marfan Syndrome: First Case in Italy and Review of the Literature.

Rossella Parrinello P   Patrizia Carità C   Fabio Oreste Triolo T   Renato Trapani T   Emanuele Grassedonio G   Vincenzo Argano A   Giuseppina Novo N   Silvana Vallone V   Teresa Fasciana F   Massimo Verdecchia V   Anna Giammanco G   Massimo Midiri M   Salvatore Novo N  

Case reports in infectious diseases 20161010

<i>Neisseria elongata</i> (NE) is an aerobic Gram-negative organism that constitutes part of the commensal human normal oropharyngeal flora. Although previously considered not to be pathogenic, it has been recognized as an occasional cause of significant infections in humans. We report here the first case in Italy of infective endocarditis of a native prolapsing mitral valve in a patient with Marfan syndrome, caused by NE subspecies <i>nitroreducens</i> which has been rarely isolated from clinic  ...[more]

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