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Updated: May 8, 2026

Endotoxin Activity Assay for the Detection of Whole Blood Endotoxemia in Critically Ill Patients

Endotoxin Activity Assay for the Detection of Whole Blood Endotoxemia in Critically Ill Patients

Published on: June 24, 2019

Erysipelothrix bacteremia without endocarditis: rare event or under-reported occurrence?

Dimitri M Drekonja¹

¹Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA; Department of Medicine, University of Minnesota, Minneapolis, MN, USA.

Diagnostic Microbiology and Infectious Disease

|August 31, 2013

Summary

This summary is machine-generated.

Erysipelothrix rhusiopathiae bacteremia can cause inflamed hands. Oral moxifloxacin effectively treated the patient, and a transesophageal echocardiogram ruled out endocarditis, suggesting the association may be spurious.

Keywords:

Endocarditis Erysipelothrix rhusiopathiae Zoonoses

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Last Updated: May 8, 2026

Endotoxin Activity Assay for the Detection of Whole Blood Endotoxemia in Critically Ill Patients

Endotoxin Activity Assay for the Detection of Whole Blood Endotoxemia in Critically Ill Patients

Published on: June 24, 2019

Area of Science:

Infectious Diseases
Cardiology

Background:

Erysipelothrix rhusiopathiae is a pathogen known to cause infections, including bacteremia.
A significant association between E. rhusiopathiae bacteremia and infective endocarditis has been previously reported in medical literature.

Observation:

A patient presented with clinical signs of inflamed hands and confirmed Erysipelothrix rhusiopathiae bacteremia.
Given the reported association with endocarditis, a transesophageal echocardiogram was performed to assess for cardiac involvement.

Findings:

The transesophageal echocardiogram revealed no evidence of endocarditis.
The patient's symptoms, including inflamed hands and bacteremia, completely resolved following treatment with oral moxifloxacin.

Implications:

This case suggests that the previously observed association between Erysipelothrix rhusiopathiae bacteremia and endocarditis might be coincidental or spurious.
Further research may be needed to clarify the true incidence of endocarditis in E. rhusiopathiae bacteremia.
Successful treatment with oral moxifloxacin highlights its efficacy in managing E. rhusiopathiae infections.