Letter to the Editor
Reply to “Observations on native valve endocarditis caused by Kocuria kristinae”
Respuesta a «Observaciones sobre endocarditis nativa de la válvula causada por Kocuria kristinae»
Angel Robles Marhuenda
Servicio de Medicina Interna, Hospital La Paz, Madrid, Spain
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"idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Observations on “Native valve endocarditis caused by <span class="elsevierStyleItalic">Kocuria kristinae</span>”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "146" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Observaciones sobre “Endocarditis nativa de la válvula causada por <span class="elsevierStyleItalic">Kocuria kristinae</span>”" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Gurmeet Ram Rahim, Neha Gupta, Puneet Maheshwari" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Gurmeet Ram" "apellidos" => "Rahim" ] 1 => array:2 [ "nombre" => "Neha" "apellidos" => "Gupta" ] 2 => array:2 [ "nombre" => "Puneet" "apellidos" => "Maheshwari" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0213005X1730232X" "doi" => "10.1016/j.eimc.2017.08.010" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213005X1730232X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X18300157?idApp=UINPBA00004N" "url" => "/2529993X/0000003600000002/v2_201802191141/S2529993X18300157/v2_201802191141/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Reply to “Observations on native valve endocarditis caused by <span class="elsevierStyleItalic">Kocuria kristinae</span>”" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "147" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Angel Robles Marhuenda" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Angel" "apellidos" => "Robles Marhuenda" "email" => array:1 [ 0 => "aroblesmarhuenda@gmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Interna, Hospital La Paz, Madrid, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta a «Observaciones sobre endocarditis nativa de la válvula causada por Kocuria kristinae»" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I am grateful for the comments received by Rahim et al.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> Our intentions with the letter sent was to point out the pathogenic significance <span class="elsevierStyleItalic">Kocuria kristinae</span> may have on the development of infectious endocarditis,<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> without any other apparent primary infectious focal point being measured, unlike the cases referenced by Rahim et al. in these cases obvious infectious niches exist (septic arthritis, infected catheter, infections of soft tissues) and appear to be the starting point of the bacteremia which will foster the development of endocarditis. The aim of our letter was to simply reiterate the importance of <span class="elsevierStyleItalic">Kocuria kristinae</span> as a potential pathogen of infectious endocarditis without the need for a clinically apparent primary reservoir. Also that its microbiological determination should be subject to an appropriate clinical interpretation which determines the realisation of the pertinent supplementary techniques.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We insist on several specific aspects: that on occasion this is attributed with a “contaminating” role without pathogenic involvement; that identification should be made not just based on the metabolic study<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> of isolation (as in several of the articles referenced by Rahim et al.); that there are no specific sensitivity guidelines (and for this reason it was relativised with <span class="elsevierStyleItalic">Staphylococcus aureus</span> cut-off points).</p><p id="par0015" class="elsevierStylePara elsevierViewall">Our intentions was not to carry out a systematic review of the literature with respect to <span class="elsevierStyleItalic">Kocuria</span> spp and its pathological/microbiological spectrum, but to avoid under-estimations of <span class="elsevierStyleItalic">Kocuria kristinae</span> in isolation and its potential involvement in the development of infectious endocarditis, regardless of whether primary septic systemic outbreaks exist or not.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Robles Marhuenda A. Respuesta a «Observaciones sobre endocarditis nativa de la válvula causada por Kocuria kristinae». Enferm Infecc Microbiol Clin. 2018;36:147.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "<span class="elsevierStyleInterRef" id="intr0010" href="https://doi.org/S0213-005X(17)30232-X">https://doi.org/S0213-005X(17)30232-X</span>" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Observations on «Native valve endocarditis caused by <span class="elsevierStyleItalic">Kocuria kristinae</span>»" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "G.R. Rahim" 1 => "N. Gupta" 2 => "P. Maheshwari" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "EIMC" "fecha" => "2017" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Native valve endocarditis caused by <span class="elsevierStyleItalic">Kocuria kristinae</span>" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Robles-Marhuenda" 1 => "M.P. Romero-Gómez" 2 => "J. García-Rodríguez" 3 => "F. Arnalich-Fernández" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.eimc.2015.09.008" "Revista" => array:6 [ "tituloSerie" => "Enferm Infecc Microbiol Clin" "fecha" => "2016" "volumen" => "34" "paginaInicial" => "464" "paginaFinal" => "465" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26585820" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bacterial endocarditis by <span class="elsevierStyleItalic">Kocuria kristinae</span> in an immunocompetent patient: case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.R. Bastidas" 1 => "C.A. Vélez" 2 => "M. Gutiérrez" 3 => "N. Bahamón" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Colomb Cardiol" "fecha" => "2013" "volumen" => "20" "paginaInicial" => "316" "paginaFinal" => "319" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/2529993X/0000003600000002/v2_201802191141/S2529993X18300078/v2_201802191141/en/main.assets" "Apartado" => array:4 [ "identificador" => "66012" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/2529993X/0000003600000002/v2_201802191141/S2529993X18300078/v2_201802191141/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X18300078?idApp=UINPBA00004N" ]
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