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[Erysipelothrix endocarditis (author's transl)].

J Volmer, G Hasler

    Deutsche Medizinische Wochenschrift (1946)
    |November 12, 1976
    PubMed
    Summary
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    Erysipelothrix rhusiopathiae infection can cause severe septicaemia and endocarditis in humans, often involving the aortic valve. Despite antibiotic treatment, this condition has a high mortality rate, highlighting the severity of Erysipelothrix endocarditis.

    Area of Science:

    • Infectious Diseases
    • Cardiology
    • Microbiology

    Background:

    • Erysipelothrix rhusiopathiae is a bacterium that can cause infection in humans, typically through skin lesions.
    • While rare, systemic infections can lead to serious complications such as arthritis, meningitis, and endocarditis.

    Observation:

    • A case of a 46-year-old man who developed septicaemia and endocarditis following an erysipeloid infection is presented.
    • The patient's infection was caused by Erysipelothrix rhusiopathiae.

    Findings:

    • Erysipelothrix endocarditis is a severe condition characterized by significant destruction of cardiac valves, most commonly the aortic valve.
    • The literature reports 28 cases of Erysipelothrix endocarditis, with a mortality rate of 16 out of 28 patients (approximately 57%).

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  • Eleven of the deceased patients received antibiotic treatment, indicating treatment limitations.
  • Implications:

    • This case underscores the potentially fatal nature of Erysipelothrix endocarditis, even with aggressive antibiotic therapy.
    • Prompt diagnosis and effective treatment strategies for Erysipelothrix rhusiopathiae infections are crucial to improve patient outcomes.
    • Further research into the pathogenesis and treatment of Erysipelothrix endocarditis is warranted.