First case of infective endocarditis caused by Methylobacterium radiotolerans

Eur J Clin Microbiol Infect Dis. 2020 Sep;39(9):1785-1788. doi: 10.1007/s10096-020-03896-7. Epub 2020 Apr 14.

Abstract

Methylobacterium radiotolerans has only been identified in blood samples from end-stage renal failure or leukaemia patients in clinic. Here, we report a case of infective endocarditis (IE) caused by M. radiotolerans. 16S rRNA sequencing and matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) were used to identify the bacteria isolated from cardiac vegetation. A drug sensitivity test was conducted by disk diffusion on blood Mueller-Hinton agar. This isolate was identified as M. radiotolerans, which was susceptible to aminoglycosides and ciprofloxacin. Our findings also suggest that M. radiotolerans can cause infection in a patient with normal immune function.

Keywords: 16S rRNA; Drug sensitivity test; Infective endocarditis; MALDI-TOF MS; Methylobacterium radiotolerans.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Echocardiography
  • Endocarditis / diagnosis*
  • Endocarditis / diagnostic imaging
  • Endocarditis / microbiology
  • Humans
  • Male
  • Methylobacterium / isolation & purification*
  • Middle Aged

Supplementary concepts

  • Methylobacterium radiotolerans