Balkhair A, Al Lawati H, Al Riyami M, Alameddine T, Al Amin M, Al Adawi B.
Erysipelothrix rhusiopathiae endocarditis diagnosed by broad range 16s rRNA PCR gene sequencing.
IDCases 2019;
18:e00584. [PMID:
31338300 PMCID:
PMC6630084 DOI:
10.1016/j.idcr.2019.e00584]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2019] [Revised: 06/27/2019] [Accepted: 06/27/2019] [Indexed: 11/26/2022] Open
Abstract
Occupationally related E. rhusiopathiae endocarditis requiring valve replacement surgery.
Broad range 16S rRNA PCR applied to excised valve leaflets/vegetations confirmed the presence of E. rhusiopathiae.
E. rhusiopathiae should be included in the list of pathogens causing endocarditis especially when occupational setting is compatible.
Erysipelothrix rhusiopathiae (E. rhusiopathiae) is a rare occupational opportunistic Gram-positive bacillus. Infections caused by E. rhusiopathiae are principally a sequel of occupational and recreational exposures to infected animals. Infective endocarditis is a classic, albeit it infrequent, manifestation of invasive infection with this bacterium.
We present a case of E. rhusiopathiae mitral valve endocarditis in a farmer with psoriasis presented with acute intractable heart failure requiring valve replacement surgery. E. rhusiopathiae was identified by 16S rRNA-based gene sequencing from culture-negative, surgically excised mitral valve leaflets.
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