[Mitral valve endocarditis caused by Erysipelothrix rhusiopathiae].
METHODS
A 67 year-old country woman was admitted to the hospital because of a four weeks history of continuous catarrh, arthralgia and fever. Recently, she had also developed upper abdominal pain after oral ibuprofen treatment. The clinical examination showed a patient of impaired general condition. The heart and lungs were auscultatory normal and there were no signs of dyspnea, cyanosis or inflammatory skin lesions.


RESULTS
Physical examination of heart and lung, electrocardiography and transthoracic echocardiography were without pathological findings.


METHODS
Gastroscopy revealed acute antral gastritis and duodenitis with presence of Helicobacter pylori. Eradication therapy resolved the abdominal symptoms but fever returned after the antibiotic therapy was stopped. The patient developed a severe endocarditis with progressive mitral regurgitation within a few days. Erysipelothrix rhusiopathiae was isolated from blood cultures and identified by conventional and molecular methods. The patient was treated successfully with 3 x 2 g ampicillin daily, applied parenterally for six weeks, and a mitral valve replacement.


CONCLUSIONS
This was an unusual manifestation of systemic Erysipelothrix rhusiopathiae infection. The bacterium Erysipelothrix rhusiopathiae has still to be considered in the diagnosis and treatment of endocarditis in patients with increased risk of exposure (e.g. farmers, butchers and fishermen).
Heidrich
J P
JP
Institut für Medizinische Mikrobiologie und Hygiene, Medizinische Universität zu Lübeck. heidrich@medinf.mu-luebeck.de
Stahl
M
M
Dittmann
R
R
Maass
M
M
Solbach
W
W
D000368:Aged; D000667:Ampicillin / Q000008:administration & dosage; D004452:Echocardiography; D004562:Electrocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D004889:Erysipelothrix Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007275:Injections, Intravenous; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010406:Penicillins / Q000008:administration & dosage; D013997:Time Factors
D010406:Penicillins; D000667:Ampicillin