Rocha M P, Fontoura P R, Azevedo S N, Fontoura A M
Rev Inst Med Trop Sao Paulo. 1989 Jul-Aug;31(4):286-9. doi: 10.1590/s0036-46651989000400013.
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.
本报告描述了拉丁美洲首例有记录的猪红斑丹毒丝菌性心内膜炎病例。患者为一名51岁男性，有中度饮酒史，既往有主动脉功能衰竭病史。他习惯以钓鱼和烹饪为爱好，左手曾被鱼骨划伤。疾病起初表现为类丹毒形式，随后发展为败血症和心内膜炎。他接受了抗生素治疗及主动脉瓣置换手术。迄今为止，仅报告了46例猪红斑丹毒丝菌性心内膜炎病例。作者怀疑是否还有其他一些病例因缺乏微生物实验室诊断而未被报告。
