Endocarditis infecciosa con compromiso bi-valvular por Erysipelothrix Rhusiopathiae. Caso Clínico

Resumen

The microbiology of infective endocarditis (IE) varies in different populations and depends on public health conditions and socioeconomic status. In low-income countries, oral Streptococci affect hearts with rheumatic valve disease in patients with poor dentition. In high-income countries, Staphylococci are the most common cause, affecting elderly and immunosuppressed patients, or those with invasive devices. Gram - positive bacili as IE pathogens are unusual. Erysipelothrixrhusiopathiae is a gram positivebacili. It causes skin diseases in domestic and farm animals, but in humans, is a very unusual pathogen. This infection is considered a zoonosis, since most cases are linked to direct contact with vector animals. We report a 62 years old male with a history of exposure to animals, who developed an infective endocarditis with severe bi-valve regurgitation and septic shock, requiring antimicrobials and surgical resolution. Erysipelothrixrhusiopathiae was isolated from blood and valve vegetation cultures. The patient had a successful evolution and was discharged from the hospital.