Active infective endocarditis due to Erysipelothrix rhusiopathiae: zoonosis caused by vancomycin-resistant gram-positive rod
Abstract 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 replac...
Ausführliche Beschreibung
Autor*in: |
Miura, Takashi [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2012 |
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Schlagwörter: |
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Anmerkung: |
© The Japanese Association for Thoracic Surgery 2012 |
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Übergeordnetes Werk: |
Enthalten in: The Japanese journal of thoracic and cardiovascular surgery - Tōkyō : Springer Japan, 1998, 61(2012), 2 vom: 05. Juni, Seite 96-99 |
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Übergeordnetes Werk: |
volume:61 ; year:2012 ; number:2 ; day:05 ; month:06 ; pages:96-99 |
Links: |
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DOI / URN: |
10.1007/s11748-012-0105-4 |
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Katalog-ID: |
SPR022526900 |
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10.1007/s11748-012-0105-4 doi (DE-627)SPR022526900 (SPR)s11748-012-0105-4-e DE-627 ger DE-627 rakwb eng Miura, Takashi verfasserin aut Active infective endocarditis due to Erysipelothrix rhusiopathiae: zoonosis caused by vancomycin-resistant gram-positive rod 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Japanese Association for Thoracic Surgery 2012 Abstract 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 4 weeks 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. Zoonosis (dpeaa)DE-He213 Infective endocarditis (dpeaa)DE-He213 Aortic valve, replacement (dpeaa)DE-He213 Cerebral hemorrhage (dpeaa)DE-He213 Hashizume, Koji aut Ariyoshi, Tsuneo aut Miwa, Takashi aut Furumoto, Akitsugu aut Izumida, Mai aut Yanagihara, Katsunori aut Eishi, Kiyoyuki aut Enthalten in The Japanese journal of thoracic and cardiovascular surgery Tōkyō : Springer Japan, 1998 61(2012), 2 vom: 05. Juni, Seite 96-99 (DE-627)539545104 (DE-600)2381600-4 1863-2092 nnns volume:61 year:2012 number:2 day:05 month:06 pages:96-99 https://dx.doi.org/10.1007/s11748-012-0105-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 61 2012 2 05 06 96-99 |
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10.1007/s11748-012-0105-4 doi (DE-627)SPR022526900 (SPR)s11748-012-0105-4-e DE-627 ger DE-627 rakwb eng Miura, Takashi verfasserin aut Active infective endocarditis due to Erysipelothrix rhusiopathiae: zoonosis caused by vancomycin-resistant gram-positive rod 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Japanese Association for Thoracic Surgery 2012 Abstract 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 4 weeks 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. Zoonosis (dpeaa)DE-He213 Infective endocarditis (dpeaa)DE-He213 Aortic valve, replacement (dpeaa)DE-He213 Cerebral hemorrhage (dpeaa)DE-He213 Hashizume, Koji aut Ariyoshi, Tsuneo aut Miwa, Takashi aut Furumoto, Akitsugu aut Izumida, Mai aut Yanagihara, Katsunori aut Eishi, Kiyoyuki aut Enthalten in The Japanese journal of thoracic and cardiovascular surgery Tōkyō : Springer Japan, 1998 61(2012), 2 vom: 05. Juni, Seite 96-99 (DE-627)539545104 (DE-600)2381600-4 1863-2092 nnns volume:61 year:2012 number:2 day:05 month:06 pages:96-99 https://dx.doi.org/10.1007/s11748-012-0105-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 61 2012 2 05 06 96-99 |
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10.1007/s11748-012-0105-4 doi (DE-627)SPR022526900 (SPR)s11748-012-0105-4-e DE-627 ger DE-627 rakwb eng Miura, Takashi verfasserin aut Active infective endocarditis due to Erysipelothrix rhusiopathiae: zoonosis caused by vancomycin-resistant gram-positive rod 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Japanese Association for Thoracic Surgery 2012 Abstract 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 4 weeks 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. Zoonosis (dpeaa)DE-He213 Infective endocarditis (dpeaa)DE-He213 Aortic valve, replacement (dpeaa)DE-He213 Cerebral hemorrhage (dpeaa)DE-He213 Hashizume, Koji aut Ariyoshi, Tsuneo aut Miwa, Takashi aut Furumoto, Akitsugu aut Izumida, Mai aut Yanagihara, Katsunori aut Eishi, Kiyoyuki aut Enthalten in The Japanese journal of thoracic and cardiovascular surgery Tōkyō : Springer Japan, 1998 61(2012), 2 vom: 05. Juni, Seite 96-99 (DE-627)539545104 (DE-600)2381600-4 1863-2092 nnns volume:61 year:2012 number:2 day:05 month:06 pages:96-99 https://dx.doi.org/10.1007/s11748-012-0105-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 61 2012 2 05 06 96-99 |
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10.1007/s11748-012-0105-4 doi (DE-627)SPR022526900 (SPR)s11748-012-0105-4-e DE-627 ger DE-627 rakwb eng Miura, Takashi verfasserin aut Active infective endocarditis due to Erysipelothrix rhusiopathiae: zoonosis caused by vancomycin-resistant gram-positive rod 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Japanese Association for Thoracic Surgery 2012 Abstract 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 4 weeks 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. Zoonosis (dpeaa)DE-He213 Infective endocarditis (dpeaa)DE-He213 Aortic valve, replacement (dpeaa)DE-He213 Cerebral hemorrhage (dpeaa)DE-He213 Hashizume, Koji aut Ariyoshi, Tsuneo aut Miwa, Takashi aut Furumoto, Akitsugu aut Izumida, Mai aut Yanagihara, Katsunori aut Eishi, Kiyoyuki aut Enthalten in The Japanese journal of thoracic and cardiovascular surgery Tōkyō : Springer Japan, 1998 61(2012), 2 vom: 05. Juni, Seite 96-99 (DE-627)539545104 (DE-600)2381600-4 1863-2092 nnns volume:61 year:2012 number:2 day:05 month:06 pages:96-99 https://dx.doi.org/10.1007/s11748-012-0105-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 61 2012 2 05 06 96-99 |
allfieldsSound |
10.1007/s11748-012-0105-4 doi (DE-627)SPR022526900 (SPR)s11748-012-0105-4-e DE-627 ger DE-627 rakwb eng Miura, Takashi verfasserin aut Active infective endocarditis due to Erysipelothrix rhusiopathiae: zoonosis caused by vancomycin-resistant gram-positive rod 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Japanese Association for Thoracic Surgery 2012 Abstract 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 4 weeks 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. Zoonosis (dpeaa)DE-He213 Infective endocarditis (dpeaa)DE-He213 Aortic valve, replacement (dpeaa)DE-He213 Cerebral hemorrhage (dpeaa)DE-He213 Hashizume, Koji aut Ariyoshi, Tsuneo aut Miwa, Takashi aut Furumoto, Akitsugu aut Izumida, Mai aut Yanagihara, Katsunori aut Eishi, Kiyoyuki aut Enthalten in The Japanese journal of thoracic and cardiovascular surgery Tōkyō : Springer Japan, 1998 61(2012), 2 vom: 05. Juni, Seite 96-99 (DE-627)539545104 (DE-600)2381600-4 1863-2092 nnns volume:61 year:2012 number:2 day:05 month:06 pages:96-99 https://dx.doi.org/10.1007/s11748-012-0105-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 61 2012 2 05 06 96-99 |
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Miura, Takashi misc Zoonosis misc Infective endocarditis misc Aortic valve, replacement misc Cerebral hemorrhage Active infective endocarditis due to Erysipelothrix rhusiopathiae: zoonosis caused by vancomycin-resistant gram-positive rod |
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Active infective endocarditis due to Erysipelothrix rhusiopathiae: zoonosis caused by vancomycin-resistant gram-positive rod Zoonosis (dpeaa)DE-He213 Infective endocarditis (dpeaa)DE-He213 Aortic valve, replacement (dpeaa)DE-He213 Cerebral hemorrhage (dpeaa)DE-He213 |
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active infective endocarditis due to erysipelothrix rhusiopathiae: zoonosis caused by vancomycin-resistant gram-positive rod |
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Active infective endocarditis due to Erysipelothrix rhusiopathiae: zoonosis caused by vancomycin-resistant gram-positive rod |
abstract |
Abstract 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 4 weeks 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 |
abstractGer |
Abstract 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 4 weeks 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 |
abstract_unstemmed |
Abstract 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 4 weeks 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 |
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