Streptobacillus moniliformis endocarditis in an HIV-positive patient.

Publikation

Streptobacillus moniliformis endocarditis in an HIV-positive patient.

Wissenschaftlicher Artikel/Review - 01.01.2000

Rordorf Tamara, Züger C, Zbinden R, von Graevenitz A, Pirovino Mauro

Zitation

Rordorf T, Züger C, Zbinden R, von Graevenitz A, Pirovino M. Streptobacillus moniliformis endocarditis in an HIV-positive patient. Infection 2000; 28:393-4.

Art

Wissenschaftlicher Artikel/Review (Englisch)

Zeitschrift

Infection 2000; 28

Veröffentlichungsdatum

01.01.2000

ISSN (Druck)

0300-8126

Seiten

393-4

Kurzbeschreibung/Zielsetzung

Streptobacillus moniliformis is the causative agent of rat bite fever, with endocarditis being a rare but well-documented complication. We report the case of an HIV-positive man who acquired S. moniliformis endocarditis through a rat bite. No predisposing cardiac lesion was known. He was treated with ceftriaxone 2 g/day i.v. for 3 weeks, gentamicin 120 mg/day i.v. for 2 weeks and penicillin 24x10(6) units/day for 1 week. At the end of the antibiotic therapy he suffered a generalized Candida albicans infection, which was treated with fluconazole for 1 week. He was subsequently discharged in a satisfactory condition.