<i>Streptococcus equi</i> Subspecies <i>zooepidemicus</i> Endocarditis and Meningitis in a 62-Year-Old Horse Rider Patient: A Case Report and Literature Review
The present article presents a case report and literature review concerning the <i>Streptococcus equi</i> subspecies <i>zooepidemicus</i> (SEZ), a rare zoonotic pathogen in humans. The case involves a 62-year-old man with no prior heart disease, presenting with endocarditis,...
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| Format: | Article |
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MDPI AG
2024-10-01
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| Series: | Microorganisms |
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| Online Access: | https://www.mdpi.com/2076-2607/12/11/2201 |
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| author | Giacomo Franceschi Alessandra Soffritti Matteo Mantovani Margherita Digaetano Federica Prandini Mario Sarti Andrea Bedini Marianna Meschiari Cristina Mussini |
| author_facet | Giacomo Franceschi Alessandra Soffritti Matteo Mantovani Margherita Digaetano Federica Prandini Mario Sarti Andrea Bedini Marianna Meschiari Cristina Mussini |
| author_sort | Giacomo Franceschi |
| collection | DOAJ |
| description | The present article presents a case report and literature review concerning the <i>Streptococcus equi</i> subspecies <i>zooepidemicus</i> (SEZ), a rare zoonotic pathogen in humans. The case involves a 62-year-old man with no prior heart disease, presenting with endocarditis, pneumonia, and meningitis following close contact with a horse. The patient underwent urgent aortic valve replacement due to severe valvular damage caused by the infection. Blood and cerebrospinal fluid cultures confirmed the presence of SEZ, and the patient was treated with a combination of antibiotics, followed by a successful step-down to oral therapy using linezolid. A review of 25 additional <i>Streptococcus equi</i> endocarditis cases highlights the rarity of the condition, its association with animal contact, and its tendency to cause multi-site infections, such as pneumonia and meningitis. Early diagnosis, appropriate antibiotic therapy, and, in severe cases, surgical intervention are critical for a favorable outcome. This report emphasizes the importance of recognizing zoonotic infections in at-risk populations and the potential need for public health surveillance in these scenarios. |
| format | Article |
| id | doaj-art-122d2f7df4e741ee8edd00eefc4df84a |
| institution | Kabale University |
| issn | 2076-2607 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Microorganisms |
| spelling | doaj-art-122d2f7df4e741ee8edd00eefc4df84a2024-11-26T18:14:29ZengMDPI AGMicroorganisms2076-26072024-10-011211220110.3390/microorganisms12112201<i>Streptococcus equi</i> Subspecies <i>zooepidemicus</i> Endocarditis and Meningitis in a 62-Year-Old Horse Rider Patient: A Case Report and Literature ReviewGiacomo Franceschi0Alessandra Soffritti1Matteo Mantovani2Margherita Digaetano3Federica Prandini4Mario Sarti5Andrea Bedini6Marianna Meschiari7Cristina Mussini8Department of Infectious Diseases, Azienda Ospedaliera-Universitaria of Modena, University of Modena and Reggio Emilia, 41125 Modena, ItalyDepartment of Infectious Diseases, Azienda Ospedaliera-Universitaria of Modena, University of Modena and Reggio Emilia, 41125 Modena, ItalyDepartment of Infectious Diseases, Azienda Ospedaliera-Universitaria of Modena, University of Modena and Reggio Emilia, 41125 Modena, ItalyDepartment of Infectious Diseases, Azienda Ospedaliera-Universitaria of Modena, University of Modena and Reggio Emilia, 41125 Modena, ItalyDepartment of Infectious Diseases, Azienda Ospedaliera-Universitaria of Modena, University of Modena and Reggio Emilia, 41125 Modena, ItalyClinical Microbiology Laboratory, Azienda Ospedaliera-Universitaria of Modena, University of Modena and Reggio Emilia, 41125 Modena, ItalyDepartment of Infectious Diseases, Azienda Ospedaliera-Universitaria of Modena, University of Modena and Reggio Emilia, 41125 Modena, ItalyDepartment of Infectious Diseases, Azienda Ospedaliera-Universitaria of Modena, University of Modena and Reggio Emilia, 41125 Modena, ItalyDepartment of Infectious Diseases, Azienda Ospedaliera-Universitaria of Modena, University of Modena and Reggio Emilia, 41125 Modena, ItalyThe present article presents a case report and literature review concerning the <i>Streptococcus equi</i> subspecies <i>zooepidemicus</i> (SEZ), a rare zoonotic pathogen in humans. The case involves a 62-year-old man with no prior heart disease, presenting with endocarditis, pneumonia, and meningitis following close contact with a horse. The patient underwent urgent aortic valve replacement due to severe valvular damage caused by the infection. Blood and cerebrospinal fluid cultures confirmed the presence of SEZ, and the patient was treated with a combination of antibiotics, followed by a successful step-down to oral therapy using linezolid. A review of 25 additional <i>Streptococcus equi</i> endocarditis cases highlights the rarity of the condition, its association with animal contact, and its tendency to cause multi-site infections, such as pneumonia and meningitis. Early diagnosis, appropriate antibiotic therapy, and, in severe cases, surgical intervention are critical for a favorable outcome. This report emphasizes the importance of recognizing zoonotic infections in at-risk populations and the potential need for public health surveillance in these scenarios.https://www.mdpi.com/2076-2607/12/11/2201<i>Streptococcus equi</i>zoonotic infectioninfective endocarditispneumoniameningitisantibiotic therapy |
| spellingShingle | Giacomo Franceschi Alessandra Soffritti Matteo Mantovani Margherita Digaetano Federica Prandini Mario Sarti Andrea Bedini Marianna Meschiari Cristina Mussini <i>Streptococcus equi</i> Subspecies <i>zooepidemicus</i> Endocarditis and Meningitis in a 62-Year-Old Horse Rider Patient: A Case Report and Literature Review Microorganisms <i>Streptococcus equi</i> zoonotic infection infective endocarditis pneumonia meningitis antibiotic therapy |
| title | <i>Streptococcus equi</i> Subspecies <i>zooepidemicus</i> Endocarditis and Meningitis in a 62-Year-Old Horse Rider Patient: A Case Report and Literature Review |
| title_full | <i>Streptococcus equi</i> Subspecies <i>zooepidemicus</i> Endocarditis and Meningitis in a 62-Year-Old Horse Rider Patient: A Case Report and Literature Review |
| title_fullStr | <i>Streptococcus equi</i> Subspecies <i>zooepidemicus</i> Endocarditis and Meningitis in a 62-Year-Old Horse Rider Patient: A Case Report and Literature Review |
| title_full_unstemmed | <i>Streptococcus equi</i> Subspecies <i>zooepidemicus</i> Endocarditis and Meningitis in a 62-Year-Old Horse Rider Patient: A Case Report and Literature Review |
| title_short | <i>Streptococcus equi</i> Subspecies <i>zooepidemicus</i> Endocarditis and Meningitis in a 62-Year-Old Horse Rider Patient: A Case Report and Literature Review |
| title_sort | i streptococcus equi i subspecies i zooepidemicus i endocarditis and meningitis in a 62 year old horse rider patient a case report and literature review |
| topic | <i>Streptococcus equi</i> zoonotic infection infective endocarditis pneumonia meningitis antibiotic therapy |
| url | https://www.mdpi.com/2076-2607/12/11/2201 |
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