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Volume 19, Number 3—March 2013

Letter

Mycobacterium fortuitum Endocarditis Associated with Cardiac Surgery, Serbia

Dragana VukovićComments to Author , Vojislav Parezanović, Branislava Savić, Ivana Dakić, Suzana Laban-Nestorović, Slobodan Ilić, Ivana Ćirković, and Srdjan Stepanović
Author affiliations: Author affiliations: University of Belgrade, Belgrade, Serbia (D. Vuković, V. Parezanović, B. Savić, I. Dakić, S. Ilić, I. Ćirković, S. Stepanović); University Children's Hospital, Belgrade (V. Parezanović, S. Laban-Nestorović, S. Ilić)

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Table

Characteristics of patients in an outbreak of Mycobacterium fortuitum endocarditis, Serbia*

Characteristic Patient 1 Patient 2 Patient 3
Age, y/sex 12.0/F 2.0/F 0.5/M
Comorbidity No Down syndrome No
Time between surgery and readmission, d 86 97 76
Position of vegetation Septal cusp of tricuspid valve Septal cusp of tricuspid valve and VSD patch Septal cusp of tricuspid valve and VSD patch
Hemodynamic consequence Moderate tricuspid valve regurgitation Moderate tricuspid valve regurgitation VSD patch dehiscence
No. blood cultures collected, aerobic/anaerobic 3/3 10/4 6/3
No. blood cultures positive for acid-fast bacteria, aerobic/anaerobic 2/0 5/0 2/0
Time of collection of first positive/last positive blood culture, d after readmission 8/11 1/21 4/16
Outcome Resolved after antimicrobial drug treatment Resolved after antimicrobial drug treatment Resolved after antimicrobial drug treatment and reoperation

*VSD, ventricular septal defect.

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