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Letter to the Editor
Observations on “Native valve endocarditis caused by Kocuria kristinae
Observaciones sobre “Endocarditis nativa de la válvula causada por Kocuria kristinae
Gurmeet Ram Rahima, Neha Guptaa,
Corresponding author
nehagupta0606@gmail.com

Corresponding author.
, Puneet Maheshwarib
a Microbiology department, Shah SatnamJi Speciality Hospitals, Sirsa, Haryana, India
b Department of Anaesthesia, Shah SatnamJi Speciality Hospitals, Sirsa, Haryana, India
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">With reference to article &#8220;Native valve endocarditis caused by <span class="elsevierStyleItalic">Kocuria kristinae&#8221;</span> by Angel Robles et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> it was claimed as theirs being the first case of <span class="elsevierStyleItalic">Kocuria kristinae</span> infection associated with native valve endocarditis&#46; However&#44; after search in article engines like Medline&#44; Pubmed&#44; Researchgate&#44; it was found that the first case of <span class="elsevierStyleItalic">Kocuria kristinae</span> endocarditis was reported in 2011 by Lai et al&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> Thereafter&#44; few more reports have been published in 2013&#40;Citro et al&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> and Bastidas et al&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a>&#41;&#44; another one in 2015 by Horino et al&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> All these published reports are cases of native valve endocarditis&#46; The authors agree to the fact that <span class="elsevierStyleItalic">Kocuria kristinae</span> endocarditis although rarely reported is worth mentioning&#46; The steadily rising number of reports bring forth the implications of <span class="elsevierStyleItalic">Kocuria kristinae</span> as a possible etiological agent of native valve endocarditis&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Although limited in number&#44; <span class="elsevierStyleItalic">Kocuria kristinae</span> has increasingly been reported to be associated with systemic infections contrary to the claim made by Angel Robles et al&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Approximately 24 cases of <span class="elsevierStyleItalic">Kocuria kristinae</span> bacteremia have been reported in literature so far&#46; <span class="elsevierStyleItalic">Kocuria kristinae</span> although considered non-pathogenic&#44; has the potential of causing pathogenic systemic infections&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">No antibiotic sensitivity guidelines exist for <span class="elsevierStyleItalic">Kocuria kristinae</span> as of now&#46; After a review of all reported cases published so far in literature&#44; <span class="elsevierStyleItalic">Kocuria kristinae</span> has been found completely sensitive to gentamicin&#44; cotrimoxazole&#44; linezolid&#44; ciprofloxacin and levofloxacin&#46; However&#44; it has been mostly sensitive to vancomycin&#44; erythromycin&#44; clindamycin&#44; teicoplanin&#44; rifampicin and oxacillin with resistance seen in a few cases&#46; Mixed results of sensitivity have been obtained with amikacin&#44; penicillin&#44; ampicillin&#44; ceftriaxone and cefazolin&#46; The outcomes of treatment regimens used&#44; in reported cases so far&#44; have mostly been favorable&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">To conclude&#44; <span class="elsevierStyleItalic">Kocuria kristinae</span> that has been considered as a commensal in past&#44; should be acknowledged in cases dealing with systemic infections&#46; More accurate techniques are required to diagnose this organism and differentiate from <span class="elsevierStyleItalic">Coagulase-negative Staphylococci</span> in countries with limited resources&#46; The authors also recommend the formulation of antibiotic guidelines for this organism keeping in mind the rising incidences of <span class="elsevierStyleItalic">Kocuria kristinae</span> infections&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that no conflicts of interest exist&#46;</p></span></span>"
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ISSN: 2529993X
Original language: English
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es en pt

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