Wang Taylor, Khan Danyal, Mobarakai Neville
Department of Medicine, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, New York, 10305, USA.
IDCases. 2020 Sep 9;22:e00958. doi: 10.1016/j.idcr.2020.e00958. eCollection 2020.
is a zoonotic gram positive coccobacillus. It is rarely found in humans as an occupational pathogen that mainly infects animal handlers. There are three forms of human infection: localized erysipeloid, diffuse cutaneous form and lastly, bacteremia that could progress to infective endocarditis. We present a case of a 59-year-old male who was found to have bacteremia that was diagnosed as aortic valve endocarditis with severe aortic regurgitation. The patient was treated with ampicillin-sulbactam then transitioned to six weeks of intravenous ampicillin. This report summarizes a rare organism that causes a serious human infection and discusses its epidemiology, clinical presentation, diagnosis and treatment options.
是一种人畜共患的革兰氏阳性球杆菌。作为一种主要感染动物饲养者的职业病原体，它在人类中很少见。人类感染有三种形式：局限性类丹毒、弥漫性皮肤型，最后是可能进展为感染性心内膜炎的菌血症。我们报告一例59岁男性病例，该患者被发现患有菌血症，诊断为主动脉瓣心内膜炎并伴有严重主动脉反流。患者先接受氨苄西林-舒巴坦治疗，然后转为静脉注射氨苄西林六周。本报告总结了一种导致严重人类感染的罕见病原体，并讨论了其流行病学、临床表现、诊断和治疗选择。
