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Erysipelothrix bacteremia; is endocarditis a rule?

1 Institute of Infectious Diseases, Apollo Hospitals, Chennai, Tamil Nadu, India
2 Department of Infectious Diseases, Kingsway Hospital, Nagpur, Maharastra, India
3 Department of General Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India

Correspondence Address:
Haripriya Reddy Challa,
Institute of Infectious Diseases, Apollo Hospitals, Chennai, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jgid.jgid_30_22

Erysipelothrix rhusiopathiae is a Gram-positive bacillus, a zoonotic pathogen rarely causing human infections ranging from localized skin infections to invasive infections such as endocarditis. In this report, we present two cases of Erysipelothrix bacteremia. The first case is a native valve tricuspid endocarditis, which is a highly unusual valve to be involved. The second case is bacteremia, probably secondary to a minor skin breach, which did not involve heart valves. Erysipelothrix bacteremia is considered highly associated with infective endocarditis and a high mortality rate, which could be a bias due to underreporting of Erysipelothrix bacteremia without endocarditis. Erysipelothrix is intrinsically resistant to vancomycin, the first-line agent for Gram-positive bacteremia. Both the patients in this report were treated successfully with ceftriaxone.

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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008