Sepsis, Endocarditis, and Purulent Arthritis due to a Rare Zoonotic Infection with Streptococcus equi Subspecies zooepidemicus
Streptococcus equi subspecies zooepidemicus (S. zooepidemicus) is mostly known as an opportunistic pathogen found in horses and as a rare human zoonosis. An 82-year-old male, who had daily contact with horses, was admitted in a septic condition. The patient presented with dyspnea, hemoptysis, impair...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2018/3265701 |
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| _version_ | 1832562615693344768 |
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| author | Anne Kirstine Høyer-Nielsen Shahin Gaini Anne Kjerulf Rudi Kollslíð Torkil Á Steig Marc Stegger Jan Jóanesarson |
| author_facet | Anne Kirstine Høyer-Nielsen Shahin Gaini Anne Kjerulf Rudi Kollslíð Torkil Á Steig Marc Stegger Jan Jóanesarson |
| author_sort | Anne Kirstine Høyer-Nielsen |
| collection | DOAJ |
| description | Streptococcus equi subspecies zooepidemicus (S. zooepidemicus) is mostly known as an opportunistic pathogen found in horses and as a rare human zoonosis. An 82-year-old male, who had daily contact with horses, was admitted in a septic condition. The patient presented with dyspnea, hemoptysis, impaired general condition, and severe pain in a swollen left shoulder. Synovial fluid from the affected joint and blood cultures showed growth of S. equi subsp. zooepidemicus. Transesophageal echocardiography showed a vegetation on the aortic valve consistent with endocarditis. Arthroscopic revision revealed synovitis and erosion of the rotator cuff. Technetium-99m scintigraphy showed intense increased activity in the left shoulder, suspicious of osteitis. The infection was treated with intravenous antibiotics over a period of five weeks, followed by oral antibiotics for another two months. The patient recovered without permanent sequelae. |
| format | Article |
| id | doaj-art-837d89c317b148a18f1267d4e70b7909 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-837d89c317b148a18f1267d4e70b79092025-02-03T01:22:15ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/32657013265701Sepsis, Endocarditis, and Purulent Arthritis due to a Rare Zoonotic Infection with Streptococcus equi Subspecies zooepidemicusAnne Kirstine Høyer-Nielsen0Shahin Gaini1Anne Kjerulf2Rudi Kollslíð3Torkil Á Steig4Marc Stegger5Jan Jóanesarson6Division of Cardiology, Medical Department, National Hospital Faroe Islands, Tórshavn, Faroe IslandsInfectious Diseases Division, Medical Department, National Hospital Faroe Islands, Tórshavn, Faroe IslandsInfectious Disease Epidemiology & Prevention, Infectious Disease Preparedness, Statens Serum Institut, Copenhagen, DenmarkDivision of Cardiology, Medical Department, National Hospital Faroe Islands, Tórshavn, Faroe IslandsDivision of Nephrology, Medical Department, National Hospital Faroe Islands, Tórshavn, Faroe IslandsBacteria, Parasites and Fungi, Infectious Disease Preparedness, Statens Serum Institut, Copenhagen, DenmarkDivision of Cardiology, Medical Department, National Hospital Faroe Islands, Tórshavn, Faroe IslandsStreptococcus equi subspecies zooepidemicus (S. zooepidemicus) is mostly known as an opportunistic pathogen found in horses and as a rare human zoonosis. An 82-year-old male, who had daily contact with horses, was admitted in a septic condition. The patient presented with dyspnea, hemoptysis, impaired general condition, and severe pain in a swollen left shoulder. Synovial fluid from the affected joint and blood cultures showed growth of S. equi subsp. zooepidemicus. Transesophageal echocardiography showed a vegetation on the aortic valve consistent with endocarditis. Arthroscopic revision revealed synovitis and erosion of the rotator cuff. Technetium-99m scintigraphy showed intense increased activity in the left shoulder, suspicious of osteitis. The infection was treated with intravenous antibiotics over a period of five weeks, followed by oral antibiotics for another two months. The patient recovered without permanent sequelae.http://dx.doi.org/10.1155/2018/3265701 |
| spellingShingle | Anne Kirstine Høyer-Nielsen Shahin Gaini Anne Kjerulf Rudi Kollslíð Torkil Á Steig Marc Stegger Jan Jóanesarson Sepsis, Endocarditis, and Purulent Arthritis due to a Rare Zoonotic Infection with Streptococcus equi Subspecies zooepidemicus Case Reports in Infectious Diseases |
| title | Sepsis, Endocarditis, and Purulent Arthritis due to a Rare Zoonotic Infection with Streptococcus equi Subspecies zooepidemicus |
| title_full | Sepsis, Endocarditis, and Purulent Arthritis due to a Rare Zoonotic Infection with Streptococcus equi Subspecies zooepidemicus |
| title_fullStr | Sepsis, Endocarditis, and Purulent Arthritis due to a Rare Zoonotic Infection with Streptococcus equi Subspecies zooepidemicus |
| title_full_unstemmed | Sepsis, Endocarditis, and Purulent Arthritis due to a Rare Zoonotic Infection with Streptococcus equi Subspecies zooepidemicus |
| title_short | Sepsis, Endocarditis, and Purulent Arthritis due to a Rare Zoonotic Infection with Streptococcus equi Subspecies zooepidemicus |
| title_sort | sepsis endocarditis and purulent arthritis due to a rare zoonotic infection with streptococcus equi subspecies zooepidemicus |
| url | http://dx.doi.org/10.1155/2018/3265701 |
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