First reported case of vertebral osteomyelitis due to Erysipelothrix rhusiopathiae

Lorenz, Matthew L.; Bouton, Tara C; Caliendo, Angela M.

doi:10.1016/j.idcr.2017.11.002

Cited by 8 publications

(10 citation statements)

References 9 publications

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“…In humans, septic arthritis, osteomyelitis, and spondylitis due to E rhusiopathiae are rare. We found only 16 published cases: 11 septic arthritis (6 native joint infections and 5 prosthetic) [ 6–16 ], 1 chronic pubic symphysitis [ 17 ], and 4 spondylitis or spondylodiscitis [ 18–21 ]. All are detailed in Supplementary Table 1 .…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Osteoarticular Infections Caused by Erysipelothrix rhusiopathiae: Case Report and Literature Review

Maillard

Wakim

Ousser

et al. 2021

Open Forum Infectious Diseases

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Section: Discussion and Literature Reviewmentioning

confidence: 99%

Osteoarticular Infections Caused by Erysipelothrix rhusiopathiae: Case Report and Literature Review

Maillard

Wakim

Ousser

et al. 2021

Open Forum Infectious Diseases

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“…There are also cases reports regarding E. rhusiopathiae -related septic arthritis, prosthetic joint infection, and osteomyelitis. However none of them was associated with endocarditis [ 9 , 10 , 11 ]. Recent case reports have similar findings on aortic and mitral valves, sometimes even involving tricuspid valves simultaneously [ 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the past, it was frequently misinterpreted as Lactobacillus spp. or Enterococcus spp., but molecular polymerase chain reaction (PCR) significantly improves the accuracy and shortens the duration for speciation [ 3 , 10 , 14 ].…”

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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“…These are (1) erysipeloid—a mild localised cutaneous infection, (2) a severe generalised cutaneous infection and (3) systemic infection in the form of septicaemia (with or without cutaneous involvement) 3–5. Systemic infections with E. Rhusiopathiae are the most serious but the least common forms; presenting as septicaemia with subsequent organ involvement (ie, septic arthritis, osteomyelitis, endocarditis and even cerebral infection reported in the literature) 6–8. In this report, we describe a case of a native valve endocarditis caused by E. Rhusiopathiae and presenting with severe aortic regurgitation mandating surgical valve replacement.…”

Section: Introductionmentioning

confidence: 93%

Native valve endocarditis caused byErysipelothrixRhusiopathiae: presenting with refractory heart failure and requiring surgical valve replacement—report on a rare zoonosis

2019

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Erysipelothrix Rhusiopathiae is a Gram-positive bacillus that is ubiquitous in nature. The bacterium is a zoonotic pathogen known to infect wild and domestic animals. Human infections, however, are uncommon and typically present with localised or generalised cutaneous lesions. Systemic infection in the form of bacteraemia with seeding to various organs is the least common form of the disease. Infections in humans tend to be associated with occupational exposure and close contact with animals. Clinical data of a 61-year-old male patient with Gram-positive bacilli bacteraemia and E.Rhusiopathiae-induced endocarditis are presented here. The patient presented with refractory congestive heart failure secondary to severe acute aortic regurgitation mandating surgical valve replacement. The described case has special clinical merit given the lack of fever and leukocytosis, absence of erysipeloid cutaneous manifestations and refractoriness to medical management. E. Rhusiopathiae should be considered in the differential diagnosis for Gram-positive bacilli bacteraemia and endocarditis. In the proper clinical setting, occupational exposure and animal contacts are helpful clues to raise suspicion for this bacillus. The high mortality associated with the pathogen should urge for early identification and initiation of antimicrobial treatment.

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First reported case of vertebral osteomyelitis due to Erysipelothrix rhusiopathiae

Abstract: We describe a case of acute vertebral osteomyelitis with associated prevertebral abscess due to Erysipelothrix rhusiopathiae in an immunocompetent adult with recent known traumatic inoculation from the barb of a fish.

Cited by 8 publications

References 9 publications

Osteoarticular Infections Caused by Erysipelothrix rhusiopathiae: Case Report and Literature Review

Osteoarticular Infections Caused by Erysipelothrix rhusiopathiae: Case Report and Literature Review

Erysipelothrix rhusiopathiae endocarditis

Native valve endocarditis caused byErysipelothrixRhusiopathiae: presenting with refractory heart failure and requiring surgical valve replacement—report on a rare zoonosis

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