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Cardiobacterium hominis

  • General information


    • Taxonomy
      Family: Cardiobacteriaceae

      HACEK
      The HACEK organisms are a group of fastidious Gram-negative bacteria that are an unusual cause of infective endocarditis, which is an inflammation of the heart due to bacterial infection.
      HACEK is an abbreviation of the initials of the genera of this group of bacteria:
      Haemophilus aphrophilus (Aggregatibacter aphrophilus)
      Aggregatibacter actinomycetemcomitans
      (previously Actinobacillus)
      Cardiobacterium hominis
      Eikenella corrodens
      Kingella kingae
      .
      The HACEK organisms are a normal part of the human microbiota, living in the oral-pharyngeal region.

      The bacteria were originally grouped because they were thought to be a significant cause of infective endocarditis, but recent research has shown that they are rare and only responsible for 1.4–3.0% of all cases of this disease.

      Natural habitats
      The oral cavity and nasopharynx but possibly also the gastrointestinal and urogenital tract of humans.

      Clinical significance
      Human disease is mainly endocarditis (HACEK), on rare occasions, they have been isolated from other body sites

  • Gram stain

    • Pleomorphic or straight Gram negative rods,

      0.5-0.75 x 1.0-3.0 µm

      with rounded ends and long filaments may occur.

      They are arranged singly, in pairs, in short chains and in rosette clusters

      Parts of the cell can stain Gram positive

  • Culture characteristics

    • Facultative anaerobic

      5% CO2 improves the growth

      BA: growth on blood agar is very poor.
      After incubation for two days, colonies are 1 mm, circular, smooth and opaque, and may pit the agar.

      Slight α-haemolysis

      Addition of yeast extract to the medium (e.g., chocolate agar) seems to abolish this pleomorphism

      McConkey: no growth

      BBAØ: growth

  • Characteristics

  • References

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