Table 1

Causative organism and diagnostic investigations

Diagnostic testNative valveProsthetic valveTotal
*Streptococcus bovis, Streptococcus mitis, Enterococcus faecium, Histoplasma capsulatum, Aspergillus sp, Aspergillus fumigatus.
Rhodococcus sp, Staphylococcus aureus, Staphylococcus epidermidis.
S aureus (sputum 1, pleural fluid 1), coagulase negative staphylococcus (pacemaker tip), viridans streptococcus (embolus).
§Gram positive coccus.
¶Yeast.
Serology
    Bartonella sp 1 1
    Chlamydia psittaci 1 1
    Coxiella burnetii 5 3 8
Serology + PCR (Bartonella sp) 5 5
Valve culture6*3† 9
Culture of other material4‡ 4
Valve microscopy 3
No organism24 832