{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T18:33:37Z","timestamp":1770748417875,"version":"3.50.0"},"reference-count":20,"publisher":"Royal College of Surgeons of England","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p> We present an unusual case of occult mechanical aortic valve endocarditis caused by Propionibacterium acnes (P. acnes), which occurred five years after the initial cardiac surgical procedure. The only potential source of this infection from the patient\u2019s past medical history was a gastric band removal followed by a gastric bypass surgery, which was performed two years prior to her redo cardiac procedure. The patient\u2019s main presenting symptom was progressive dyspnoea with worsening of gradients across the mechanical aortic valve. Of note, she had no cardinal symptoms of infection. The patient underwent redo bioprosthetic aortic valve replacement with aortic root replacement. Prosthetic valve cultures grew P. acnes, while blood cultures remained negative. She was started on intravenous antibiotics for six weeks and her postoperative course was uneventful. She remained symptom-free six months postoperatively. This case opens the discussion for the importance of administering antibiotics prophylaxis for endocarditis in patients with prosthetic heart valves undergoing gastric procedures. <\/jats:p>","DOI":"10.1308\/rcsann.2021.0334","type":"journal-article","created":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T15:41:26Z","timestamp":1650555686000},"page":"e216-e218","source":"Crossref","is-referenced-by-count":1,"title":["Occult prosthetic aortic valve endocarditis caused by <i>Propionibacterium acnes<\/i>: a case report"],"prefix":"10.1308","volume":"104","author":[{"given":"M","family":"Servito","sequence":"first","affiliation":[{"name":"Kingston Health Science Centre, Kingston, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AL","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Culhane","sequence":"additional","affiliation":[{"name":"Kingston Health Science Centre, Kingston, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y","family":"Amador-Godoy","sequence":"additional","affiliation":[{"name":"Kingston Health Science Centre, Kingston, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"El-Diasty","sequence":"additional","affiliation":[{"name":"Kingston Health Science Centre, Kingston, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"C1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00092-13"},{"key":"C2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.24.11.1078"},{"key":"C3","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-017-3172-8"},{"key":"C4","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2016.12.026"},{"key":"C5","doi-asserted-by":"publisher","DOI":"10.1128\/jcm.32.12.3043-3045.1994"},{"key":"C6","doi-asserted-by":"publisher","DOI":"10.1080\/00365540701367793"},{"key":"C7","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofv191"},{"key":"C8","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/S0300-8932(09)70159-9","volume":"62","author":"Guio L","year":"2009","journal-title":"Rev Esp Cardiol"},{"key":"C9","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivw087"},{"key":"C10","doi-asserted-by":"publisher","DOI":"10.1099\/jmm.0.46613-0"},{"key":"C11","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv319"},{"key":"C12","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.183095"},{"key":"C13","doi-asserted-by":"publisher","DOI":"10.1016\/j.drup.2012.07.001"},{"key":"C14","doi-asserted-by":"publisher","DOI":"10.1002\/path.4782"},{"key":"C15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.03.532"},{"key":"C16","doi-asserted-by":"publisher","DOI":"10.3109\/00365540903443140"},{"key":"C17","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000004482"},{"key":"C18","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-14-105"},{"key":"C19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2009.02703.x"},{"key":"C20","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-013-1955-9"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2021.0334","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:49:22Z","timestamp":1684147762000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2021.0334"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":20,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1308\/rcsann.2021.0334"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2021.0334","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}