Erysipelothrix rhusiopathiae bacteremia following a cat bite

Ken'ichiro, Kobayashi; Kawano, Tomoaki; Mizuno, Sachiko; Kubo, Kenji; Komiya, Nobuhiro; Otsu, Satoko

doi:10.1016/j.idcr.2019.e00631

Cited by 8 publications

(9 citation statements)

References 6 publications

(8 reference statements)

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“…It is also possible that the patient may have encountered the bacterium via contaminated foods. Other cases have also noted exposure via cat or dog bites and inoculation via a goose rib, though none specifically notes zoonotic infection from rats or raccoons [13][14][15]. Nevertheless, this patient's presentation exemplifies that E. rhusiopathiae should be included in the differential diagnosis of Gram-positive rod bacteremia in patients with unsanitary housing regardless of known or suspected exposure to common reservoirs of infection.…”

Section: Discussionmentioning

confidence: 90%

Triple Threat: A Case of Erysipelothrix rhusiopathiae Septicemia Complicated by Multi-Valvular Endocarditis, Spinal Osteomyelitis, and Septic Embolic Stroke

Narvaez¹,

Schoenfeld²,

Elshereye³

et al. 2022

Cureus

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Erysipelothrix rhusiopathiae is a Gram-positive rod associated with zoonotic infections, most commonly the soft tissues. It can be present in several ways, though most commonly as erysipeloid. Rarely, it may manifest systemically with septic organ involvement such as endocarditis or osteomyelitis. Here, we present the case of a 71-year-old male who presented to the hospital with back pain and neurological deficits. He was found to be bacteremic with E. rhusiopathiae, and imaging demonstrated the presence of multi-valvular endocarditis, spinal osteomyelitis with epidural abscess, and septic embolic stroke. Though such complications of E. rhusiopathiae septicemia have been documented in the literature, this is the first reported case of all three manifestations in one patient.

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Section: Discussionmentioning

confidence: 90%

Triple Threat: A Case of Erysipelothrix rhusiopathiae Septicemia Complicated by Multi-Valvular Endocarditis, Spinal Osteomyelitis, and Septic Embolic Stroke

Narvaez¹,

Schoenfeld²,

Elshereye³

et al. 2022

Cureus

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“…From the bacteria that are pathogens or the physiological flora of animals that we noted in our study, there are, among others, Capnocytophaga canimorsus which is canine and feline oral flora and Erysipelothrix rhusiopathiae isolated from numerous animals. These species most commonly cause BSI due to bites [ 38 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

Healthcare-Associated Laboratory-Confirmed Bloodstream Infections—Species Diversity and Resistance Mechanisms, a Four-Year Retrospective Laboratory-Based Study in the South of Poland

Chmielarczyk

Pomorska-Wesołowska²,

Romaniszyn

et al. 2021

IJERPH

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Introduction: Regardless of the country, advancements in medical care and infection prevention and control of bloodstream infections (BSIs) are an enormous burden of modern medicine. Objectives: The aim of our study was to describe the epidemiology and drug-resistance of laboratory-confirmed BSI (LC-BSIs) among adult patients of 16 hospitals in the south of Poland. Patients and methods: Data on 4218 LC-BSIs were collected between 2016–2019. The identification of the strains was performed using MALDI-TOF. Resistance mechanisms were investigated according to European Committee on Antimicrobial Susceptibility Testing, EUCAST recommendations. Results: Blood cultures were collected from 8899 patients, and LC-BSIs were confirmed in 47.4%. The prevalence of Gram-positive bacteria was 70.9%, Gram-negative 27.8% and yeast 1.4%. The most frequently isolated genus was Staphylococcus (50% of all LC-BSIs), with a domination of coagulase-negative staphylococci, while Escherichia coli (13.7%) was the most frequent Gram-negative bacterium. Over 4 years, 108 (2.6%) bacteria were isolated only once, including species from the human microbiota as well as environmental and zoonotic microorganisms. The highest methicillin resistant Staphylococcus aureus (MRSA) prevalence was in intensive care units (ICUs) (55.6%) but S. aureus with resistance to macrolides, lincosamides and streptogramins B (MLSB) in surgery was 66.7%. The highest prevalence of E. faecalis with a high-level aminoglycoside resistance (HLAR) mechanism was in ICUs, (84.6%), while E. faecium-HLAR in surgery was 83.3%. All cocci were fully glycopeptide-sensitive. Carbapenem-resistant Gram-negative bacilli were detected only in non-fermentative bacilli group, with prevalence 70% and more. Conclusions: The BSI microbiology in Polish hospitals was similar to those reported in other studies, but the prevalence of MRSA and enterococci-HLAR was higher than expected, as was the prevalence of carbapenem-resistant non-fermentative bacilli. Modern diagnostic techniques, such as MALDI-TOF, guarantee reliable diagnosis.

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“…Therefore, most infection happens among the animal handlers such as butchers, fishermen, and farmers. Kobayashi also reported one case of bacteremia following a cat bite [ 2 ]. Domestic swine is considered the major reservoir but infection is more common in fish handlers due to skin abrasions from fish bones or fins.…”

Section: Discussionmentioning

confidence: 99%

“…Diffuse cutaneous form is rarer compared to the localized lesions and it manifests as a larger infected area with central clearing and bullous lesions that sometimes appear at a distant site. Other symptoms including fever and joint pain were reported and its clinical course is longer lasting [ 1 , 2 ]. There is no proposed treatment for this form of infection due to its rare occurrence.…”

Section: Discussionmentioning

confidence: 99%

Erysipelothrix rhusiopathiae endocarditis

Wang

Khan

Mobarakai

2020

IDCases

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Erysipelothrix rhusiopathiae is a zoonotic gram positive coccobacillus. It is rarely found in humans as an occupational pathogen that mainly infects animal handlers. There are three forms of human infection: localized erysipeloid, diffuse cutaneous form and lastly, bacteremia that could progress to infective endocarditis. We present a case of a 59-year-old male who was found to have E. rhusiopathiae bacteremia that was diagnosed as aortic valve endocarditis with severe aortic regurgitation. The patient was treated with ampicillin-sulbactam then transitioned to six weeks of intravenous ampicillin. This report summarizes a rare organism that causes a serious human infection and discusses its epidemiology, clinical presentation, diagnosis and treatment options.

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Erysipelothrix rhusiopathiae bacteremia following a cat bite

Cited by 8 publications

References 6 publications

Triple Threat: A Case of Erysipelothrix rhusiopathiae Septicemia Complicated by Multi-Valvular Endocarditis, Spinal Osteomyelitis, and Septic Embolic Stroke

Triple Threat: A Case of Erysipelothrix rhusiopathiae Septicemia Complicated by Multi-Valvular Endocarditis, Spinal Osteomyelitis, and Septic Embolic Stroke

Healthcare-Associated Laboratory-Confirmed Bloodstream Infections—Species Diversity and Resistance Mechanisms, a Four-Year Retrospective Laboratory-Based Study in the South of Poland

Erysipelothrix rhusiopathiae endocarditis

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