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[Infective endocarditis caused by Erysipelothrix rhusiopathie. Report of one case]

Limay Vázquez, Carolina De Los Santos, María Cichero

    Revista Medica De Chile
    |March 2, 2016
    PubMed

    Insights

    Erysipelothrix rhusiopathiae, a bacterium, can cause severe aortic valve endocarditis in humans. Prompt diagnosis and treatment, including surgery, are crucial for patient recovery.

    Area of Science:

    • Microbiology
    • Infectious Diseases
    • Cardiology

    Background:

    • Erysipelothrix rhusiopathiae is a gram-positive bacillus, an opportunistic pathogen in humans.
    • Human infection typically occurs via skin-wounding exposure to infected animals, their products, or contaminated waste.
    • Tannery workers are at increased risk due to occupational exposure.

    Observation:

    • A 40-year-old male tannery worker presented with a month-long fever.
    • Echocardiography revealed aortic valve vegetation, perforation, and severe aortic regurgitation.
    • Blood cultures confirmed Erysipelothrix rhusiopathiae infection.

    Findings:

    • The patient received penicillin treatment for Erysipelothrix rhusiopathiae endocarditis.
    • Aortic valve replacement with a mechanical valve was successfully performed.
    • The patient was discharged after six weeks of hospitalization and treatment.

    Implications:

    • This case highlights the potential for Erysipelothrix rhusiopathiae to cause severe cardiac complications.
    • Early recognition and aggressive management, including surgical intervention, are vital for favorable outcomes.
    • Occupational health surveillance and preventive measures are important for high-risk professions.

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