Azofra J, Torres R, Gómez Garcés J L, Górgolas M, Fernández Guerrero M L, Jiménez Casado M
Departamento de Medicina Interna, Fundación Jiménez Díaz, Universidad Autónoma, Madrid.
Enferm Infecc Microbiol Clin. 1991 Feb;9(2):102-5.
Endocarditis produced by E. rhusiopathiae is a uncommon disease. Most of the infected persons (90%) work in environments with frequent exposure to E. rhusiopathiae (butchers, fisherman). Although the clinical picture of endocarditis produced by E. rhusiopathiae is indistinguishable from other forms of subacute endocarditis, this infection has a mortality rate of 40% and a high morbidity. Microbiological diagnosis should consider the possibility of making a mistake considering that isolation of a gram-positive bacillus may represent contamination by an agent without clinical relevance. Treatment with penicillin G during 4 weeks is commonly sufficient to cure the disease.
豕红斑丹毒丝菌引起的心内膜炎是一种罕见疾病。大多数感染者（90%）在经常接触豕红斑丹毒丝菌的环境中工作（屠夫、渔民）。虽然豕红斑丹毒丝菌引起的心内膜炎的临床表现与其他形式的亚急性心内膜炎无法区分，但这种感染的死亡率为40%，发病率很高。考虑到革兰氏阳性杆菌的分离可能代表无临床相关性的病原体污染，微生物学诊断应考虑出错的可能性。通常用青霉素G治疗4周就足以治愈该病。
