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J Med Microbiol 56 (2007), 860-862; DOI: 10.1099/jmm.0.47155-0
© 2007 Society for General Microbiology
ISSN 1473-5644

Case Report

Prosthetic valve endocarditis due to Neisseria elongata subsp. elongata in a patient with Klinefelter's syndrome

Morgan Evans1, Farah Yazdani1, Henry Malnick2, Jayesh J. Shah2 and David P. J. Turner1,3

1 Department of Clinical Microbiology, Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham NG7 2UH, UK

2 Laboratory of HealthCare Associated Infection, Centre for Infections, Health Protection Agency, Colindale, London, UK

3 Institute of Infections, Immunity and Inflammation, School of Molecular Medical Sciences, Centre for Biomolecular Sciences, University of Nottingham, Nottingham, UK

Correspondence
David P. J. Turner
david.turner{at}nottingham.ac.uk

Received 8 January 2007
Accepted 19 February 2007

A case is reported of prosthetic valve endocarditis due to Neisseria elongata subsp. elongata in a patient with Klinefelter's syndrome. This is believed to be only the third case of endocarditis reported due to this subspecies. N. elongata is difficult to identify, and is morphologically and biochemically similar to Kingella spp. Sequencing of the 16S rRNA gene is useful for identification. The patient was successfully treated with amoxicillin and gentamicin, followed by ceftriaxone.

Abbreviations: LHCAI, Laboratory of HealthCare Associated Infection.

The GenBank/EMBL/DDBJ accession no. for the 16S rRNA gene sequence of the isolate of Neisseria elongata is DQ914524.






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