Erysipelothrix rhusiopathiae endocarditis

Microbiologic, epidemiologic, and clinical features of an occupational disease

Gary L. Gorby, James E. Peacock

Research output: Contribution to journalReview article

129 Citations (Scopus)

Abstract

Ninety percent of the 49 reported cases of serious Erysipelothrix rhusiopathiae infection have been episodes of presumed or proved endocarditis. E. rhusiopathiae endocarditis correlates highly with occupation (farming, animal exposure), affects more males than females, exhibits a peculiar aortic valve tropism, displays a characteristic erysipeloid cutaneous lesion (in 40% of cases), and is associated with significant mortality (overall rate, 38%). Comparison with other unusual gram-positive rods causing endocarditis shows that E. rhusiopathiae resembles Listeria monocytogenes and Lactobacillus species in its propensity to involve structurally damaged but native left-sided valves. Unlike diphtheroid endocarditis, E. rhusiopathiae endocarditis has not involved prosthetic valves and is not associated with intravenous drug abuse, as is Bacillus species endocarditis. E. rhusiopathiae is exquisitely susceptible to penicillin but resistant to vancomycin. Since vancomycin is often employed in empiric therapy for presumed endocarditis, prompt microbiologic differentiation of E. rhusiopathiae from other gram-positive organisms is necessary to avoid delays in the initiation of appropriate antibiotic therapy.

Original languageEnglish
Pages (from-to)317-325
Number of pages9
JournalClinical Infectious Diseases
Volume10
Issue number2
DOIs
StatePublished - 1988
Externally publishedYes

Fingerprint

Erysipelothrix
Occupational Diseases
Endocarditis
Vancomycin
Erysipelothrix Infections
Erysipeloid
Gram-Positive Rods
Intravenous Substance Abuse
Tropism
Listeria monocytogenes
Lactobacillus
Agriculture
Aortic Valve
Occupations
Penicillins
Bacillus
Anti-Bacterial Agents
Skin
Mortality
Therapeutics

All Science Journal Classification (ASJC) codes

  • Infectious Diseases
  • Microbiology (medical)

Cite this

Erysipelothrix rhusiopathiae endocarditis : Microbiologic, epidemiologic, and clinical features of an occupational disease. / Gorby, Gary L.; Peacock, James E.

In: Clinical Infectious Diseases, Vol. 10, No. 2, 1988, p. 317-325.

Research output: Contribution to journalReview article

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