%0 Journal Article
%T Erysipelothrix rhusiopathiae bacteremia without endocarditis: rapid identification from positive blood culture by MALDI-TOF mass spectrometry. A case report and literature review
%A Beatrice Pini
%A Carola Mauri
%A Francesco Luzzaro
%A Luigi Principe
%A Silvia Bracco
%A Silvia Tonolo
%J -
%D 2016
%R https://doi.org/10.4081/idr.2016.6368
%X Erysipelothrix rhusiopathiae is a Gram-positive bacillus that is infrequently responsible for infections in humans. Three forms have been classified: a localized cutaneous form (erysipeloid) caused by traumatic penetration of E. rhusiopathiae, a generalized cutaneous form and a septicemic form. The latter type of disease has been previously associated with a high incidence of endocarditis. Here we report a case of E. rhusiopathiae bacteremia in a 74- year-old man, probably started from an erysipeloid form, in which endocarditis did not develop. This case presents some particular and uncommon features: i) no correlation with animal source; ii) correlation between bacteremia and erysipeloid lesion; iii) absence of endocarditis. MALDI-TOF mass spectrometry allowed to obtain a rapid identification (within 4 hours from bottle positivity) of E. rhusiopathiae. Together with direct antimicrobial susceptibility testing, this approach could improve the rate of appropriate therapy for bloodstream infections due to this fastidious pathogen
%K Erysipelas
%K skin and soft tissue infections
%K antimicrobial treatment
%K empirical therapy
%U https://www.pagepress.org/journals/index.php/idr/article/view/6368