naa a22 4500 510728723 CHVBK 20180411082944.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s11748-012-0105-4 doi (NATIONALLICENCE)springer-10.1007/s11748-012-0105-4 Active infective endocarditis due to Erysipelothrix rhusiopathiae [Elektronische Daten] zoonosis caused by vancomycin-resistant gram-positive rod [Takashi Miura, Koji Hashizume, Tsuneo Ariyoshi, Takashi Miwa, Akitsugu Furumoto, Mai Izumida, Katsunori Yanagihara, Kiyoyuki Eishi] A 42-year-old female who was a voluntary worker in a school for handicapped children was referred to us for surgery for active infective endocarditis. Trans-esophageal echocardiography showed 2 large mobile vegetations on the aortic valve and severe aortic regurgitation. Aortic valve replacement was performed to prevent septic embolism and deterioration of congestive heart failure. The empiric therapy with vancomycin, ampicillin, and gentamycin was initiated because a pathogen was not identified. But Erysipelothrix rhusiopathiae (gram-positive rod) was isolated on the 4th day after surgery. The target therapy with penicillin G and clindamycin was started and continued for 4weeks after surgery. The inflammatory parameters improved steadily and the patient was discharged on the 36th day after surgery. Infective endocarditis due to gram-positive rods can be easily mistaken for streptococci or dismissed as a skin contamination. But, E. rhusiopathiae endocarditis should be considered in the differential diagnosis. The Japanese Association for Thoracic Surgery, 2012 Erysipelothrix rhusiopathiae nationallicence Zoonosis nationallicence Infective endocarditis nationallicence Aortic valve, replacement nationallicence Cerebral hemorrhage nationallicence Miura Takashi Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, 852-8501, Nagasaki, Japan aut Hashizume Koji Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, 852-8501, Nagasaki, Japan aut Ariyoshi Tsuneo Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, 852-8501, Nagasaki, Japan aut Miwa Takashi Department of Cardiology, Nagasaki Saiseikai Hospital, Nagasaki, Japan aut Furumoto Akitsugu Department of Infectious Disease, Nagasaki University Hospital, Nagasaki, Japan aut Izumida Mai Department of Infectious Disease, Nagasaki University Hospital, Nagasaki, Japan aut Yanagihara Katsunori Department of Laboratory Medicine, Nagasaki University Hospital, Nagasaki, Japan aut Eishi Kiyoyuki Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, 852-8501, Nagasaki, Japan aut General Thoracic and Cardiovascular Surgery Springer Japan 61/2(2013-02-01), 96-99 1863-6705 61:2<96 2013 61 11748 https://doi.org/10.1007/s11748-012-0105-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-012-0105-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Miura Takashi Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, 852-8501, Nagasaki, Japan aut NATIONALLICENCE 700 1- Hashizume Koji Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, 852-8501, Nagasaki, Japan aut NATIONALLICENCE 700 1- Ariyoshi Tsuneo Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, 852-8501, Nagasaki, Japan aut NATIONALLICENCE 700 1- Miwa Takashi Department of Cardiology, Nagasaki Saiseikai Hospital, Nagasaki, Japan aut NATIONALLICENCE 700 1- Furumoto Akitsugu Department of Infectious Disease, Nagasaki University Hospital, Nagasaki, Japan aut NATIONALLICENCE 700 1- Izumida Mai Department of Infectious Disease, Nagasaki University Hospital, Nagasaki, Japan aut NATIONALLICENCE 700 1- Yanagihara Katsunori Department of Laboratory Medicine, Nagasaki University Hospital, Nagasaki, Japan aut NATIONALLICENCE 700 1- Eishi Kiyoyuki Department of Cardiovascular Surgery, Nagasaki University Hospital, 1-7-1 Sakamoto, 852-8501, Nagasaki, Japan aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/2(2013-02-01), 96-99 1863-6705 61:2<96 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer