Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Jul 27;2(3):mtsi.v2i3.2022.256.
doi: 10.48327/mtsi.v2i3.2022.256. eCollection 2022 Sep 30.

[Sacroiliitis with Erysipelothrix Rhusiopathiae revealing tricuspid endocarditis, the first case reported on the Guiana Shield: clinical case and review of the literature]

[Article in French]
Mathilde Kheng  1 , Jean Francky Alexis  2 , Gaëlle Walter  1 , Émilie Mosnier  1 , Thomas Malmontet  1 , Magalie Pierre Demar  3 , Vilyn Tauch  4 , Guillaume Vesin  1 , Philippe Abboud  1 , François Roques  5 , Félix Djossou  1   3 , Loïc Epelboin  1   3
Affiliations
Review

[Sacroiliitis with Erysipelothrix Rhusiopathiae revealing tricuspid endocarditis, the first case reported on the Guiana Shield: clinical case and review of the literature]

[Article in French]
Mathilde Kheng et al. Med Trop Sante Int. .

Abstract
in English, French

We report here an atypical case of acute sacroiliitis caused by Erysipelothrix rhusiopathiae revealing tricuspid endocarditis in a 53-year-old woman without medical history. She was admitted to Cayenne hospital because of intense right hip and thigh pain, associated with fever. A right sacroiliitis was visible on the computed tomography (CT) scan, confirmed on MRI. Transesophageal echocardiography revealed a large mobile tricuspid vegetation. Blood cultures were positive for E. rhusiopathiae. CT scan showed pulmonary alveolar opacities, consistent with septic emboli. Clinical improvement was obtained under ceftriaxone followed by ciprofloxacin for 6 weeks of treatment. We present a review of bone and joint infections caused by E. rhusiopathiae. So far, not a single case has been reported in Latin America.

Nous rapportons le cas d'une patiente de 53 ans, sans antécédent, dont le bilan étiologique d'une douleur de hanche fébrile, réalisé à l'hôpital de Cayenne, a révélé une sacro-iliite droite associée à une endocardite infectieuse tricuspide à Erysipelothrix rhusiopathiae. Nous présentons une revue de la littérature des infections ostéo-articulaires à E. rhusiopathiae. Aucun cas d'infection ostéo-articulaire à E. rhusiopathiae n'avait encore été décrit en Amérique latine.

Keywords: Cayenne; Erysipelothrix rhusiopathiae; French Guyana; Hospital; Infective endocarditis; Osteoarticular infection; Sacroiliitis; Zoonosis.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Sacro-iliite droite. Sclérose sous-chondrale et erosions sur le côté iliaque et sacré de l'articulation. Ostéophytes marginaux. Scanner Right sacroiliitis. Subchondral sclerosis and erosions on the iliac and sacral side of the joint. Marginal osteophytes. CT Scan
Figure 2
Figure 2
Sacro-iliite droite. Sclérose sous-chondrale (bande hypointense). IRM, image pondérée en T1 Right sacroiliitis. Subchondral sclerosis (hypointense band). MRI T1-weightened image
See this image and copyright information in PMC

References

    1. Alawdah LS, Campbell JN, Pollock N, Watnick PI. Erysipelothrix rhusiopathiae Suppurative Arthritis in a 12-year-old Boy After an Unusual Fresh Water Exposure. Pediatr Infect Dis J. 2017 Apr;36(4):431–433. doi: 10.1097/INF.0000000000001461. - DOI - PubMed
    1. Allianatos PG, Tilentzoglou AC, Koutsoukou AD. Septic arthritis caused by Erysipelothrix rhusiopathiae infection after arthroscopically assisted anterior cruciate ligament reconstruction. Arthroscopy. 2003 Mar;19(3):E26. doi: 10.1053/jars.2003.50077. - DOI - PubMed
    1. Andrychowski J, Jasielski P, Netczuk T, Czernicki Z. Empyema in spinal canal in thoracic region, abscesses in paravertebral space, spondylitis: in clinical course of zoonosis Erysipelothrix rhusiopathiae. Eur Spine J. 2012 Jun;21(Suppl 4):S557–S563. doi: 10.1007/s00586-012-2289-9. Epub 2012 Apr 17. - DOI - PMC - PubMed
    1. Asimaki E, Nolte O, Overesch G, Strahm C, A dangerous hobby? Erysipelothrix rhusiopathiae bacteremia most probably acquired from freshwater aquarium fish handling. Infection. 2017 Aug;45(4):557–562. doi: 10.1007/s15010-016-0966-z. Epub 2016 Nov 21. - DOI - PubMed
    1. Belmenouar O, Benahmed A, Hamon R, Arezki E, Beleiu DH, Saad H. Spondylodiscite cervicale à Erysipelothrix rhusiopathiae chez un cuisinier. Rev Med Interne. 2018;39:A134. doi: 10.1016/j.revmed.2018.03.055. - DOI

LinkOut - more resources