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Stroke after Erysipelothrix Rhusiopathiae Endocarditis: A Case Report
Arthur de Oliveira Veras1, Ícaro Araújo de Sousa, Manoella Guerra de Albuquerque Bueno
1Clinics Hospital of Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Acta Neurologica Taiwanica
|July 6, 2025
Summary
Erysipelothrix rhusiopathiae rarely causes infective endocarditis (IE) with intracranial issues. This case highlights a bird breeder
Area of Science:
- Infectious Diseases
- Neurology
- Cardiology
Background:
- Erysipelothrix rhusiopathiae is an uncommon cause of infective endocarditis (IE).
- Intracranial manifestations of IE are rare, especially with E. rhusiopathiae.
- This report details a unique case of IE with neurological complications.
Purpose of the Study:
- To report the fifth known case of intracranial manifestation from Erysipelothrix rhusiopathiae endocarditis.
- To discuss epidemiological and clinical aspects of this rare condition.
- To highlight potential transmission routes and patient outcomes.
Main Methods:
- Case report of a 62-year-old retired bird breeder.
- Diagnostic evaluation for infective endocarditis and neurological deficits.
- Treatment with a 6-week course of ampicillin.
Main Results:
- The patient presented with ataxia and hemiparesis, diagnosed as E. rhusiopathiae endocarditis.
- Neurological and cardiac symptoms improved with antibiotic treatment.
- No recurrence was observed during 1-year follow-up.
- This is the first reported case possibly linked to bird transmission.
Conclusions:
- Erysipelothrix rhusiopathiae endocarditis can lead to severe complications like stroke.
- Prompt diagnosis and appropriate management are crucial for positive outcomes.
- Clinical awareness of E. rhusiopathiae as an IE etiological agent is important, especially in individuals with relevant exposures.
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