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Revista do Instituto de Medicina Tropical de São Paulo

Print version ISSN 0036-4665

Rev. Inst. Med. trop. S. Paulo vol.31 no.4 São Paulo July/Aug. 1989

http://dx.doi.org/10.1590/S0036-46651989000400013 

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. RochaI; Paulo R.S. FontouraII; Suzana N.B. AzevedoII; Armando M.V. FontouraII

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.


 

 

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Full text available only in PDF format.

 

 

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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.