Streptobacillus moniliformis endocarditis in an HIV-positive patient.

Publication

Streptobacillus moniliformis endocarditis in an HIV-positive patient.

Journal Paper/Review - Jan 1, 2000

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

Citation

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

Type

Journal Paper/Review (English)

Journal

Infection 2000; 28

Publication Date

Jan 1, 2000

Issn Print

0300-8126

Pages

393-4

Brief description/objective

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.