Abstract
Streptococcus equi subspecies zooepidemicus (S. zooepidemicus) is mostly known as an opportunistic pathogen found in horses and as a rare human zoonosis. An 82-year-old male, who had daily contact with horses, was admitted in a septic condition. The patient presented with dyspnea, hemoptysis, impaired general condition, and severe pain in a swollen left shoulder. Synovial fluid from the affected joint and blood cultures showed growth of S. equi subsp. zooepidemicus. Transesophageal echocardiography showed a vegetation on the aortic valve consistent with endocarditis. Arthroscopic revision revealed synovitis and erosion of the rotator cuff. Technetium-99m scintigraphy showed intense increased activity in the left shoulder, suspicious of osteitis. The infection was treated with intravenous antibiotics over a period of five weeks, followed by oral antibiotics for another two months. The patient recovered without permanent sequelae.
References
Oct 1, 1992·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J CollazosJ de Miguel
Mar 1, 1991·Reviews of Infectious Diseases·S F BradleyC A Kauffman
Nov 1, 1990·The Journal of Infection·K Y YuenP Y Chau
Jul 1, 1989·Medicine·R A SalataE Wolinsky
Jun 1, 1989·Epidemiology and Infection·M BarnhamM R Millar
Aug 1, 1988·Epidemiology and Infection·A T EdwardsM J Ironside
Apr 1, 1987·Epidemiology and Infection·M BarnhamM McIntyre
Feb 1, 1980·Journal of Clinical Pathology·A T Ghoneim, E M Cooke
Apr 19, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J S LiG R Corey
Jul 15, 2005·Kidney International. Supplement·Ricardo SessoL Pinto
Mar 1, 2006·BMC Infectious Diseases·Markku KuusiKaisa Huotari
Mar 22, 2006·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·A Bordes-BenítezM Bolaños-Rivero
Dec 17, 2009·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Jan FriederichsVolker Bühren
Jun 2, 2010·The Canadian Journal of Infectious Diseases & Medical Microbiology = Journal Canadien Des Maladies Infectieuses Et De La Microbiologie Médicale·Marie-France Poulin, Guy Boivin
Sep 8, 2010·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·D W EyreS J McBride
Aug 10, 2011·The American Journal of the Medical Sciences·Ravi Bhatia, Nitin Bhanot
May 7, 2013·Veterinary Microbiology·Andrew S Waller
Jun 20, 2013·Emerging Infectious Diseases·Sinikka PelkonenTamara Tuuminen
Jan 31, 2014·Journal of Clinical Microbiology·Anne Sophie DaubiéAlexandra Aubry
Jun 13, 2015·Revista chilena de infectología : órgano oficial de la Sociedad Chilena de Infectología·Iago VillamilElisabeth Prieto
Sep 17, 2015·Circulation·Larry M BaddourUNKNOWN American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular
Dec 26, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Luciano Rodrigo PeresMarcelo Hide Matsumoto
Nov 11, 2016·Diagnostic Microbiology and Infectious Disease·Kristina TrellMagnus Rasmussen