title: Streptobacillus moniliformis endocarditis in an HIV-positive patient.
abstract: 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.
authors.affiliation: Dept. of Medicine, Cantonal Hospital, Olten, Switzerland.
authors.forename: T
authors.initials: T
authors.lastname: Rordorf
authors.forename: C
authors.initials: C
authors.lastname: Züger
authors.forename: R
authors.initials: R
authors.lastname: Zbinden
authors.forename: A
authors.initials: A
authors.lastname: von Graevenitz
authors.forename: M
authors.initials: M
authors.lastname: Pirovino
mesh_terms: 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