Erysipelothrix rhusiopathiae endocarditis.
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.
Venditti
M
M
Patologia Medica III, Università La Sápienza, Rome, Italy.
Gelfusa
V
V
Castelli
F
F
Brandimarte
C
C
Serra
P
P
D000368:Aged; D001021:Aortic Valve / Q000601:surgery; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000382:microbiology* / Q000628:therapy; D004889:Erysipelothrix Infections / Q000188:drug therapy; D006020:Glycopeptides / Q000627:therapeutic use; D006349:Heart Valve Diseases / Q000382:microbiology / Q000628:therapy; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery; D010400:Penicillin G / Q000627:therapeutic use; D017334:Teicoplanin
D006020:Glycopeptides; D017334:Teicoplanin; D010400:Penicillin G