Case report: A prosthetic valve endocarditis caused by in an immunocompetent patient.

Extrapulmonary infections with are rare, but important to acknowledge. We report a case of infective endocarditis (IE) with in a 66-year-old immunocompetent man with an aortic homograft. The diagnosis was made by direct 16S rRNA gene amplification from valve material, confirmed by a targeted -PCR in serum and the detection of specific antibodies. To our knowledge, this is the first confirmed case of IE with as causative pathogen. The infected aortic prosthesis was replaced by a homograft, and the patient was successfully treated with levofloxacin and azithromycin for 6 weeks.