%0 Journal Article %T Disseminated Spiroplasma apis Infection in Patient with Agammaglobulinemia, France %+ Université Paris Descartes - Faculté de Médecine (UPD5 Médecine) %+ Centre Hospitalier Régional d'Orléans (CHRO) %+ Centre Hospitalier Régional Universitaire de Tours (CHRU Tours) %+ Institut Pasteur [Paris] (IP) %+ Université de Bordeaux (UB) %A Etienne, Nicolas %A Bret, Laurent %A Le Brun, Cécile %A Lécuyer, Hervé %A Moraly, Josquin %A Lanternier, Fanny %A Hermine, Olivier %A Ferroni, Agnès %A Lecuit, Marc %A Pereyre, Sabine %A Beven, Laure %A Lortholary, Olivier %Z UMR BFP - Equipe Mollicutes %< avec comité de lecture %@ 1080-6040 %J Emerging Infectious Diseases %I Centers for Disease Control and Prevention %V 24 %N 12 %P 2382-2386 %8 2018-12-12 %D 2018 %R 10.3201/eid2412.180567 %M 30457541 %K Apis %K immunocompromised patient %K bee %K btk %K bruton thyrosine kinase %K endocarditis %K agammaglobulinemia %K Spiroplasma apis %K Bruton %K Apis mellifera %K bacteria %K bacterial endocarditis %K bacterial infection %K genetic diseases %K hypogammaglobulinemia %K hornet %K immunocompromised %K infective endocarditis %K mycoplasma %K insect stings %K x linked agammaglobulinemia %K vector-borne infections %K septic arthritis %K France %K Spiroplasma %Z Life Sciences [q-bio]/Human health and pathology/Infectious diseases %Z Life Sciences [q-bio]/Human health and pathology/Emerging diseases %Z Life Sciences [q-bio]/Microbiology and Parasitology/BacteriologyJournal articles %X 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 %G English %Z We thank Anne Laurence Thomi Georgelin, who referred the patient to the Necker-Pasteur Center for Infectious Diseases and Tropical Medicine; Valérie Zeller for the management of septic polyarthritis; and Philippe Lanotte and Marie-Pierre Dubrana, who participated in molecular analysis. %2 https://pasteur.hal.science/pasteur-02139189/document %2 https://pasteur.hal.science/pasteur-02139189/file/18-0567.pdf %L pasteur-02139189 %U https://pasteur.hal.science/pasteur-02139189 %~ PASTEUR %~ UNIV-PARIS5 %~ USPC %~ UNIV-PARIS