Abstract
A case of Erysipelothrix rhusiopathiae endocarditis involving the aortic and mitral valves in a 70-year-old male farmer is reported. The onset of infection was insidious, with a five-month history of low grade fever, malaise and a 20 kg weight loss. The patient eventually developed severe heart failure requiring surgery and died postoperatively of Pseudomonas aeruginosa pneumonia. In vitro studies showed the isolate to be highly susceptible to penicillin, ciprofloxacin and ofloxacin, and resistant to vancomycin.
MeSH Terms
Aged
Aortic Valve/surgery
Combined Modality Therapy
Drug Therapy, Combination/therapeutic use
Endocarditis, Bacterial/microbiology,therapy
Erysipelothrix Infections/drug therapy
Glycopeptides/therapeutic use
Heart Valve Diseases/microbiology,therapy
Humans
Male
Mitral Valve/surgery
Penicillin G/therapeutic use
Teicoplanin
Chemicals
Glycopeptides
Teicoplanin
Penicillin G
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Venditti M
Patologia Medica III, Università La Sápienza, Rome, Italy.
Gelfusa V
Castelli F
Brandimarte C
Serra P
References (10)
10 references, click to expand
-
Erysipelothrix rhusiopathiae endocarditis: microbiologic, epidemiologic, and clinical features of an occupational disease.
Rev Infect Dis. 1988 Mar-Apr;10(2):317-25
PMID: 3287562
-
Erysipelothrix rhusiopathiae endocarditis.
Rev Infect Dis. 1988 Nov-Dec;10(6):1228
PMID: 3206063
-
Automated identification of gram-positive bacteria.
J Clin Microbiol. 1982 Dec;16(6):1091-5
PMID: 6819308
-
Staphylococcal endocarditis. Laboratory and clinical basis for antibiotic therapy.
Am J Med. 1985 Jun 28;78(6B):116-27
PMID: 3893113
-
Treatment of streptococcal infective endocarditis.
Am J Med. 1985 Jun 28;78(6B):128-37
PMID: 3925771
-
Serum dilution test for bactericidal activity. II. Standardization and correlation with antimicrobial assays and susceptibility tests.
J Infect Dis. 1977 Aug;136(2):196-204
PMID: 408424
-
Erysipelothrix rhusiopathiae endocarditis.
Rev Infect Dis. 1988 Sep-Oct;10(5):1062-3
PMID: 3187315
-
Determination of minimum bactericidal concentrations of oxacillin for Staphylococcus aureus: influence and significance of technical factors.
Antimicrob Agents Chemother. 1983 Jan;23(1):142-50
PMID: 6830204
-
Prosthetic valve endocarditis.
Ann Intern Med. 1975 Jun;82(6):751-6
PMID: 1138584
-
Acute and subacute endocarditis due to Erysipelothrix rhusopathiae.
Am J Med Sci. 1973 Jul;266(1):53-7
PMID: 4737359