Streptobacillus moniliformis endocarditis in an HIV-positive patient.
Streptobacillus moniliformis is the causative agent of rat bite fever, with endocarditis being a rare but well-documented complication. We report the case of an HIV-positive man who acquired S. moniliformis endocarditis through a rat bite. No predisposing cardiac lesion was known. He was treated with ceftriaxone 2 g/day i.v. for 3 weeks, gentamicin 120 mg/day i.v. for 2 weeks and penicillin 24x10(6) units/day for 1 week. At the end of the antibiotic therapy he suffered a generalized Candida albicans infection, which was treated with fluconazole for 1 week. He was subsequently discharged in a satisfactory condition.
Rordorf
T
T
Dept. of Medicine, Cantonal Hospital, Olten, Switzerland.
Züger
C
C
Zbinden
R
R
von Graevenitz
A
A
Pirovino
M
M
D000328:Adult; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000473:pathology*; D015658:HIV Infections / Q000150:complications* / Q000382:microbiology; D006801:Humans; D008297:Male; D011906:Rat-Bite Fever / Q000188:drug therapy / Q000473:pathology*; D013288:Streptobacillus / Q000302:isolation & purification / Q000472:pathogenicity*; D016896:Treatment Outcome