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Disseminated Spiroplasma apis Infection in Patient with Agammaglobulinemia, France

Nicolas Etienne 1 Laurent Bret 2 Cécile Le Brun 3 Hervé Lécuyer 1 Josquin Moraly Fanny Lanternier 1 Olivier Hermine 1 Agnès Ferroni 1 Marc Lecuit 1, 4 Sabine Pereyre 5 Laure Beven 5 Olivier Lortholary 1, *
* Corresponding author
1 UPD5 Médecine - Université Paris Descartes - Faculté de Médecine
2 CHR - Centre Hospitalier Régional d'Orléans
3 CHRU Tours - Centre Hospitalier Régional Universitaire de Tours
4 Institut Pasteur [Paris]
5 UB - Université de Bordeaux
Abstract : We report a disseminated infection caused by Spiroplasma apis, a honeybee pathogen, in a patient in France who had X-linked agammaglobulinemia. Identification was challenging because initial bacterial cultures and direct examination by Gram staining were negative. Unexplained sepsis in patients with agammaglobulinemia warrants specific investigation to identify fastidious bacteria such as Spiroplasma spp
Keywords : Bruton Apis mellifera Spiroplasma apis agammaglobulinemia bacteria bacterial endocarditis bacterial infection bee btk bruton thyrosine kinase endocarditis genetic diseases hypogammaglobulinemia hornet immunocompromised patient immunocompromised infective endocarditis insect stings mycoplasma x linked agammaglobulinemia septic arthritis vector-borne infections France Spiroplasma Apis
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Nicolas Etienne, Laurent Bret, Cécile Le Brun, Hervé Lécuyer, Josquin Moraly, et al.. Disseminated Spiroplasma apis Infection in Patient with Agammaglobulinemia, France. Emerging Infectious Diseases, Centers for Disease Control and Prevention, 2018, 24 (12), pp.2382-2386. ⟨10.3201/eid2412.180567⟩. ⟨pasteur-02139189⟩

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