Fatal outcome of Erysipelothrix rhusiopathiae bacteremia in a patient with oropharyngeal cancer
Journal
Journal of the Formosan Medical Association
Journal Volume
99
Journal Issue
5
Pages
431-434
Date Issued
2000
Author(s)
Abstract
Bacteremia due to Erysipelothrix rhusiopathiae is rare; the most common presentation reported in the literature is endocarditis. We report a 32-year- old man with oropharyngeal cancer who developed aspiration pneumonia and E. rhusiopathiae bacteremia, and presented with fever, chills, dyspnea; and productive cough with purulent sputum. Despite treatment with amoxicillin/clavulanate and nutritional support for 9 days, he died of respiratory failure. He had no clinical evidence of endocarditis. He had no history of animal or occupational exposure, and might have been colonized with E. rhusiopathiae in the oral cavity, followed by aspiration pneumonia and bacteremia. A fatal outcome in a patient with bacteremia due to E. rhusiopathiae without endocarditis is rare.
SDGs
Other Subjects
amoxicillin plus clavulanic acid; adult; article; aspiration pneumonia; bacteremia; case report; coughing; Erysipelothrix rhusiopathiae; fatality; human; male; oropharynx cancer; respiratory failure; Adult; Bacteremia; Erysipelothrix; Erysipelothrix Infections; Fatal Outcome; Humans; Male; Microbial Sensitivity Tests; Oropharyngeal Neoplasms
Type
journal article