Publication: Erysipelothrix rhusiopathiae bacteremia without endocarditis associated with psoas abscess: The first case report in Thailand
7
Issued Date
2014-01-01
Resource Type
ISSN
01252208
Other identifier(s)
2-s2.0-84900015788
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.97, No.3 SUPPL. 3 (2014)
Suggested Citation
Prasit Upapan, Methee Chayakulkeeree Erysipelothrix rhusiopathiae bacteremia without endocarditis associated with psoas abscess: The first case report in Thailand. Journal of the Medical Association of Thailand. Vol.97, No.3 SUPPL. 3 (2014). Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/34352
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Erysipelothrix rhusiopathiae bacteremia without endocarditis associated with psoas abscess: The first case report in Thailand
Author(s)
Other Contributor(s)
Abstract
The authors report a patient with a rare manifestation of invasive septic Erysipelothrix rhusiopathiae infection without endocardial involvement. Our patient presented with progressive paraparesis and subacute fever for ten days. He had underlying diabetes mellitus and alcoholic cirrhosis. Magnetic resonance imaging (MRI) of the lumbosacral spine showed a psoas abscess with vertebral osteomyelitis and discitis at level of L2-3of the lumbar spine. His blood culture grew E. rhusiopathiae. Transthoracic echocardiography demonstrated normal endocardium. Surgical drainage and debridement with concomitant intravenous antibiotics administration resulted in clinical improvement, including neurological status. MRI showed resolution of the psoas abscess and osteomyelitis. Erysipelothrix infection should be considered as a causative pathogen of musculoskeletal infection in immunocompromised patients. To our knowledge, this is the first case report of psoas abscess caused by E. rhusiopathiae in Thailand.