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March 8, 1965

Erysipelothrix EndocarditisReport of a Case With Cerebral Manifestations

JAMA. 1965;191(10):862-864. doi:10.1001/jama.1965.03080100080027

ERYSIPELOTHRIX insidiosa endocarditis is a rare and usually fatal lesion,1,2 and occasional survival has been reported only within the last decade.3 Only one previous case of cerebral infection from Erysipelothrix has been described4; there was no heart involvement. The current case is believed to be the first reported of Erysipelothrix endocarditis with cerebral involvement and complete eradication of the organism by penicillin.

Report of a Case  A 41-year-old white carpenter was admitted to the Cincinnati VA Hospital on Nov 7, 1963, with the chief complaints of frontal headache, fever, and arthralgia of both ankles and knees. Paroxysmal nocturnal dyspnea had occurred the night before. One month prior to this admission, the patient had consulted his private physician complaining of myalgia, fever, and chills which had begun a day earlier. He received 600,000 units of procaine penicillin G intramuscularly on two consecutive days with temporary remission of symptoms.

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