Ambăruş Aurora, Ambaruş V, Moldovanu Cătălina, Cosovanu A
Spitalul Clinic de Urgenţă Sf. Spiridon Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2006 Jul-Sep;110(3):564-6.
Erysipelothrix rhusiopathiae is a thin, non-sporulating, gram-positive rod found worldwide and hosted by many domestic or savage animals, birds, fish, and shell/fish. It is extremely resistant in the external environment (soil, surface waters). Human infection is prevalently related to occupational exposure to sick or infected contaminated animals (anthropozoonosis). Frequently, the disease manifests itself as an acute cellulitis on the skin around the gate of entry. Systemic infection is uncommon, most commonly involving the endocardium or joints. We present a case of subacute E. rhusiopathiae endocarditis in a male patient at occupational hazard for this infection (animal genitor in a zoo). The patient was treated with cefoperazone, the course being favorable. Later on, he required mitral valvuloplasty.
猪红斑丹毒丝菌是一种细长、无芽孢、革兰氏阳性杆菌,在全球范围内均有发现,许多家畜、野生动物、鸟类、鱼类以及贝类均可携带。它在外部环境(土壤、地表水)中具有极强的抵抗力。人类感染主要与职业性接触患病或受感染的动物(人畜共患病)有关。该病通常表现为在感染入口周围皮肤出现急性蜂窝织炎。全身性感染并不常见,最常累及心内膜或关节。我们报告一例职业性感染猪红斑丹毒丝菌风险较高(动物园动物饲养员)的男性患者发生亚急性心内膜炎的病例。患者接受头孢哌酮治疗,病情好转。后来,他需要进行二尖瓣成形术。