CASE REPORT

 

Erysipelothrix endocarditis with previous cutaneous lesion: report of a case and review of the literature

 

Endocardites por Erysipelothrix com lesão cutânea prévia: relato de um caso e revisão da literatura

 

 

Marion P. Rocha^I; Paulo R.S. Fontoura^II; Suzana N.B. Azevedo^II; Armando M.V. Fontoura^II

^IBiochemist, Laboratório Bioclínico Mãe de Deus. Porto Alegre, RS, Brazil
^IIMedical Doctor, Hospital Mãe de Deus. Porto Alegre, RS, Brazil

Address for correspondence

 

 

---

SUMMARY

This report describes the first documented case of Erysipelothrix rhusiopathiae endocarditis in Latin America. The patient was a 51-years-old male, moderate alcoholic, with a previous history of aortic failure. He was used to fishing and cooking as a hobby and had his left hand wounded by a fish-bone. The disease began with erysipeloid form and developed to septicemia and endocarditis. He was treated with antibiotics and surgery for aortic valve replacement. There are only 46 cases of E. rhusiopathiae endocarditis reported to date. The authors wonder if several other cases might go unreported for lack of microbiological laboratorial diagnosis.

Key words:Erysipelothrix, Endocarditis, Erysipeloid.

---

RESUMO

Este relato descreve o primeiro caso documentado de endocardite por E. rhusiopathiae na América Latina. O paciente tinha 51 anos de idade, era alcoólatra moderado, com uma história prévia de insuficiência aórtica. Ele costumava pescar e cozinhar como hobby e feriu sua mão esquerda com uma espinha-de-peixe. A doença começou com a forma erisipelóide e evoluiu para septicemia e endocardite. Ele foi tratado com antibióticos e cirurgia para troca da válvula aórtica. Até hoje forma relatados apenas 46 casos de endocardite por E. rhusiopathiae. Os autores questionam se muitos outros casos ocorrem sem que sejam relatados por falta de correto diagnóstico microbiológico laboratorial.

---

 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERENCES

1. ALEXANDER, W.D. & GOODWIN, C.S. - Erysipelothrix septicaemia (letter).Brit. med. J., 1:804, 1973.         [ Links ]

2. BARNETT, J.H.; ESTES, S.A.; WIRMAN, J.A; MORRIS, R.E. & STANECK, J.L. - Erysipeloid. J. Amer. Acad. Derm., 9:116-123, 1983.         [ Links ]

3. BERG, R.A. - Erysipelothrix rhusiopathiae (letter). Sth. med. J. (Bgham, Ala.), 77:1416, 1984.         [ Links ]

4. BORCHARDT, K.A.; SULLIVAN, R.W.; BLUMBERG, R.S.; GELBER, R.H.; BOTCH, V.; CRULL, S. & ULLYOT, D.J. - Erysipelothrix rhusiopathiae endocarditis. West. J. Med., 127: 149-151, 1977.         [ Links ]

5. BRICAIRE, F.; BURE, A.; DE METZ, S.; FROTT1ER, J.; VILDÉ, J.L. & BASTIN, R. - Endocardite à Erysipelothrix rhusiopathiae. Une observation et revue de la Iittérature. Ann. Méd. intern., 134:656-658, 1983.         [ Links ]

6. CHONG, Y.; YOON, K.J.; LEE, S.Y. & CHUNG, N.S. - Erysipelothrix rhusiopathiae endocarditis: a case report. Yonsei med.J., 27:239-243, 1986.         [ Links ]

7. CLAEYS, G.; RASQUIN, K.; VAN PELT, H.; LAMEIRE, N.& VERSCHRAEGEN, G. - Erysipelothrix rhusiopathiaesepticaemia: a case report.Acta clin. belg., 41:203-206, 1986.         [ Links ]

8. COMAS, M.E.; BANARES, F.F.; HUIX, F.G. & MURGUI, L.L. - Sepsis por Erysipelothrix rhusiopathiae sin focos sépticos en una paciente con cirrosis hepática (letter). Rev. clin. esp., 179: 51, 1986.         [ Links ]

9. FIESSINGER, N. & BROUET, G. - Erysipelothrix rhusiopathiae. Presse méd., 42:889, 1934.         [ Links ]

10. FLIEGELMAN, R.M.; COHEN, R.S. & ZAKHIREH, B. - Erysipelothrix rhusiopathiae endocarditis: report of a case and review of the literature. J. Amer. Osteop. Ass., 85:94-97, 1985.         [ Links ]

11. FRELAND, C. - Les infections à Erysipelothrix rhusiopathiae. Revue générale à propos de 31 cas de septicémies avec endocardites revelés dans la Iittérature. Path, et Biol., 25:345-352, 1977.         [ Links ]

12. GILCHRIST, T.C. - Erysipeloid, with a record of 329 cases, of which 322 were caused by crab bites or lesions produced by crabs. J. cut. Dis., 22:507-519, 1904.         [ Links ]

13. GRIECO, M.H. & SHELDON, C. - Erysipelothrix rhusiopathiae. Ann. N. Y. Acad. Sci., 174:523-532, 1970.         [ Links ]

14. KING, P.F. - Erysipeloid. Survey of 115 cases.Lancet, 2:196-198, 1946.         [ Links ]

15. KNOCHAERT, D.; VANDEPITTE, J.; DEGEEST, H. & BOGAERTS, J. - Endocarditis veroorsaakt door Erysipelothrix rhusiopathiae. Ned. T. Geneesk., 123:1977-1980, 1979.         [ Links ]

16. KRAMER, M.R.; GOMBERT, M.E.; CORRADO, M.L.; ERGIN, M.A.; BURNETT, V. & GANGULY, J. - Erysipelothrix rhusiopathiae endocarditis. Sth. med. J. (Bgham, Ala.), 75: 892, 1982.         [ Links ]

17. LAWES, F.A.E.; DURIE, E.B.; GOLDSWORTHY, N.E. & SPIES, H.C. - Subacute bacterial endocarditis caused by Erysipelothrix rhusiopathiae.Med. J. Aust., 1:330-331, 1952.         [ Links ]

18. McCARTY, D. & BORNSTEIN, S. - Erysipelothrix endocarditis. Report of a septicemic form of the Erysipeloid of Rosenbach. Amer. J. clin. Path., 33:39-42, 1960.         [ Links ]

19. McCRACKEN, A.W.; MAUNEY, C.U.; HUBERT, T.W. & McCLOSKEY, R.V. - Endocarditis caused by Erysipelothrix insidiosa. Amer. J. clin. Path., 59:219-222, 1973.         [ Links ]

20. MORRIS, C.A.; SCHWABACHER, H.; LYNCH, P. G.; CROSS, CD. & DADA, T.O. - Two fatal cases of septicaemia due to Erysipelothrix insidiosa. Amer. J. clin. Path. 18:614-617, 1965.         [ Links ]

21. MUIHEAD, N. & REID, T.M.S. - Erysipelothrix rhusiopathiae endocarditis. J.Infect., 2:83-85,1980.         [ Links ]

22. NELSON, E. - 500 cases of erysipeloid. Rocky Mtn. med. J., 52:40-42, 1955.         [ Links ]

23. NORMANN, B. & KIHLSTROM, E. - Erysipelothrix rhusiopathiae septicaemia. Scand. J. infect. Dis., 17:123-124, 1985.         [ Links ]

24. OGNIBENE, F.P.; CUNNION, R.E.; GILL, V.; AMBRUS, J.; FAUCI, A.S. & PARRILLO, J.E. - Erysipelothrix rhusiopathiae bacteremia presenting as septic shock. Amer. J. Med., 78:861-864, 1985.         [ Links ]

25. PARK, C.H.; PORETZ, D.M. & GOLDENBERG, R. - Erysipelothrix endocarditis with cutaneous lesion. Sth. med. J. (Bgham, Ala.), 69:1101-1103, 1976.         [ Links ]

26. QUEBECK, K.; MULLER, J.; WENDT, F. & ROSENTHAL, E. - Pericarditis in Erysipelothrix rhusiopathiae septicaemia. Infection, 14:301, 1986.         [ Links ]

27. ROSENBACH, F.J. - Experimented morphologische und blinische studie über die krankheitserregenden mikroorganismen des schweinrotlausfs des erysipeloids und der mãusesepsis. Z. Hyg. Infekt.-Kr., 63:343-371, 1909.         [ Links ]

28. SEROPIAN, E.; GRECEANU, 1. & THEODORESCU, B. - Considerations on a case of malignant endocarditis due to swine erysipelas bacillus. Med. interna (Buc), 13:1183-1186, 1961.         [ Links ]

29. SHUMAK, S.L.; McDONALD, S.; BAER, P. & COWAN, D.H. - Erysipelothrix septicemia in a immunocompromised host. Canad. med. Ass.J., 136:273-274, 1987.         [ Links ]

30. SILBERSTEIN, E.B. - Erysipelothrix endocarditis. Report of a case with cerebral manifestations. J. Amer. med. Ass., 191:158-160, 1965.         [ Links ]

31. SIMERKOFF, M.S. & RAHAL, J.J. - Acute and subacute endocarditis due to Erysipelothrix rhusiopathiae. Amer. J. med. Sci., 256:53-57, 1973.         [ Links ]

32. TANGUY, R.L.; GERARD, L.; BARRA, J.A.; BLANC, J.J. & EGRETEAU, J.P. - Endocardites bactérinne à bacilli du rouget. Une nouvelle observation. Presse méd., 12:304, 1983.         [ Links ]

33. TANOMSUP, S.; SUVACHITTANONT, O.; SATHAPATAYAVONGS, B.; VORACHIT, M. & JAYANETRA, P. - Erysipelothrix rhusiopathiae endocarditis: report of a case and review of the literature. J. med. Ass. Thailand, 70:354-358, 1987.         [ Links ]

34. TOWNSHEND, R.H.; JEPHCOTT, A.E. & YEKTA, M.H. - Erysipelothrix septicaemia without endocarditis. Brit. med. J., 1.464, 1973.         [ Links ]

35. VOLMER, J. & HASLER, G. - Erysipelothrix endocarditis. Dtsch. med. Wschr., 101:1672-1674, 1976.         [ Links ]

 

 

Address for correspondence:
Dr. Marion P. Rocha
Department of Microbiology
Laboratorio Bioclínico Mãe de Deus
Rua José de Alencar, 286
CEP 90640 Porto Alegre
Rio Grande do Sul, Brazil

Recebido para publicação em 20/1/1989.