NDLI: Second reported case of human infection with Streptococcus equi subsp. ruminatorum.

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Second reported case of human infection with Streptococcus equi subsp. ruminatorum.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Meyer, Alain Messer, Laurent De Briel, Dominique Moreau, Paul
Description	Country affiliation: France Author Affiliation: Meyer A ( Service de Rhumatologie, CHU Hautepierre, 1, avenue Molière, 67200 Strasbourg, France.)
Abstract	The field of zoonoses changes constantly. Streptococcus equi subsp. ruminatorum is a group C Streptococcus subspecies first identified in 2004. The first case of human infection with this agent was reported in 2007. Here, we report a second case. A 70-year-old man had acute spondylodiscitis and endocarditis involving the anterior mitral valve leaflet. S. equi subsp. ruminatorum was identified in the blood cultures. Antibiotic therapy was successful in eradicating the infection. The workup showed hypogammaglobulinemia with stage I myeloma. He reported frequent contacts with horses including two that exhibited symptoms of upper airway infection a few days before his symptoms started. Serological tests indicated S. equi infection in both animals. This unusual case confirms that S. equi subsp. ruminatorum can cause human disease. In addition, our patient was probably contaminated via the skin, a mode of transmission that has not been described previously. It also highlights the usefulness of molecular biology tests, which should be performed routinely in patients with group C streptococcus infections and evidence suggesting a zoonosis.
File Format	HTM / HTML
ISSN	1297319X
Issue Number	3
Volume Number	78
e-ISSN	17787254
Journal	Joint Bone Spine
Language	English
Publisher	Elsevier
Publisher Date	2011-05-01
Publisher Place	France
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Rheumatology Discitis Diagnosis Endocarditis, Bacterial Horse Diseases Microbiology Streptococcal Infections Streptococcus Equi Isolation & Purification Zoonoses Acute Disease Aged Animals Anti-bacterial Agents Therapeutic Use Drug Therapy Blood Transmission Horses Humans Immunocompromised Host Immunoglobulins, Intravenous Administration & Dosage Male Mitral Valve Pathology Multiple Myeloma Immunology Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Rheumatology

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