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International Journal of Cardiovascular ResearchISSN: 2324-8602

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Research Article, Int J Cardiovasc Res Vol: 4 Issue: 1

Propionibacterium Acnes Prosthetic Valve Endocarditis Caused by Unsuitable Leg Shaving. Importance of Specific Recommendations to Reduce Prosthetic Contamination

Daniel Grandmougin1*, Mazen Elfarra1, Maria-Christina Delolme2, Olivier Bouchot3, Christine Selton-Suty4, Olivier Huttin4, Hugues Blangy4, Fabrice Vanhuyse1, Nicolas Laurent1, Yhua Liu1, Jean-Pierre Villemot1, Thierry Folliguet1 and Juan-Pablo Maureira1
1Department of Cardiovascular Surgery and Transplantations, CHU-Nancy, France
2Department of Anesthesiology, CHU-Nancy, France
3Department of Cardiovascular Surgery, CHU-Dijon, France
4Department of Cardiology, CHU-Nancy, France
Corresponding author : Daniel Grandmougin, MD
Department of Cardiovascular Surgery and Heart Transplantations, ILCV Louis Mathieu - CHU Nancy-Brabois, Rue du Morvan, 54 211 Vandoeuvre-les-Nancy, France
Tel: +33- (0)3-83-15-73-67; Fax: +33-(0)3-83-15-74-29
E-mail: [email protected]
Received: October 17, 2014 Accepted: January 23, 2015 Published: January 25, 2015
Citation: Grandmougin D, Elfarra M, Delolme MC, Bouchot O, Suty CS, et al. (2015) Propionibacterium Acnes Prosthetic Valve Endocarditis Caused by Unsuitable Leg Shaving. Importance of Specific Recommendations to Reduce Prosthetic Contamination. Int J Cardiovasc Res 4:2. doi:10.4172/2324-8602.1000204

Abstract

 Propionibacterium Acnes Prosthetic Valve Endocarditis Caused by Unsuitable Leg Shaving. Importance of Specific Recommendations to Reduce Prosthetic Contamination

Introduction: Propionibaterium acnes (PA) is a bacteria associated with Acnes vulgaris and considered to have a low level of virulence. However, it has been involved in rare cases of prosthetic valve endocarditis whose diagnosis remains difficult. The origin of the prosthetic valve contamination is usually unclear. Extensive tissular damages characterize PA endocarditis. Methods and Results: We report the rare case of a PA contamination of an aortic mechanical valved conduit that required an urgent and complex stepwise surgical procedure. Investigations ascertained a highly probable source of contamination caused by leg shaving with manual razors necessitating specific dermatologic recommendations for patients with a valvular prosthesis. Conclusions: This unusual clinical presentation provided the opportunity to review the literature and characterize microbiological and clinical specificities of PA prosthetic valve endocarditis with the absolute necessity of urgent withdrawal of the prosthetic valvular material and dermatologic recommendations.

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