A Man Living in the Wilderness Presents With a Unique Case of Erysipelothrix rhusiopathiae Causing Primary CNS Infection
We report the first published case of Erysipelothrix rhusiopathiae causing subdural empyema. This 66-year-old male patient had relevant exposure history including living in a tent in the woods and having direct contact with wildlife. His main symptom which triggered his presentation was diplopia wit...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/crdi/6625621 |
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| author | Kevin Andrew Smith Alejandra Méndez Lindsey J. Reese |
| author_facet | Kevin Andrew Smith Alejandra Méndez Lindsey J. Reese |
| author_sort | Kevin Andrew Smith |
| collection | DOAJ |
| description | We report the first published case of Erysipelothrix rhusiopathiae causing subdural empyema. This 66-year-old male patient had relevant exposure history including living in a tent in the woods and having direct contact with wildlife. His main symptom which triggered his presentation was diplopia with exam findings consistent with a left partial oculomotor nerve palsy. Initial attempts at less invasive source control via burr holes alone failed. He was treated successfully with craniectomy and aqueous penicillin G with a duration of 6 weeks following surgery. CNS infection as the primary manifestation of Erysipelothrix rhusiopathiae has been reported in only one other case based on our review of the literature. This pathogen demonstrates an ability to manifest infection in many ways and remains susceptible to narrow spectrum beta-lactams. |
| format | Article |
| id | doaj-art-cfb4a839bd254f6bb132021c76ff99ff |
| institution | Kabale University |
| issn | 2090-6633 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-cfb4a839bd254f6bb132021c76ff99ff2025-08-20T03:44:04ZengWileyCase Reports in Infectious Diseases2090-66332025-01-01202510.1155/crdi/6625621A Man Living in the Wilderness Presents With a Unique Case of Erysipelothrix rhusiopathiae Causing Primary CNS InfectionKevin Andrew Smith0Alejandra Méndez1Lindsey J. Reese2Infectious DiseaseInternal MedicineInfectious DiseaseWe report the first published case of Erysipelothrix rhusiopathiae causing subdural empyema. This 66-year-old male patient had relevant exposure history including living in a tent in the woods and having direct contact with wildlife. His main symptom which triggered his presentation was diplopia with exam findings consistent with a left partial oculomotor nerve palsy. Initial attempts at less invasive source control via burr holes alone failed. He was treated successfully with craniectomy and aqueous penicillin G with a duration of 6 weeks following surgery. CNS infection as the primary manifestation of Erysipelothrix rhusiopathiae has been reported in only one other case based on our review of the literature. This pathogen demonstrates an ability to manifest infection in many ways and remains susceptible to narrow spectrum beta-lactams.http://dx.doi.org/10.1155/crdi/6625621 |
| spellingShingle | Kevin Andrew Smith Alejandra Méndez Lindsey J. Reese A Man Living in the Wilderness Presents With a Unique Case of Erysipelothrix rhusiopathiae Causing Primary CNS Infection Case Reports in Infectious Diseases |
| title | A Man Living in the Wilderness Presents With a Unique Case of Erysipelothrix rhusiopathiae Causing Primary CNS Infection |
| title_full | A Man Living in the Wilderness Presents With a Unique Case of Erysipelothrix rhusiopathiae Causing Primary CNS Infection |
| title_fullStr | A Man Living in the Wilderness Presents With a Unique Case of Erysipelothrix rhusiopathiae Causing Primary CNS Infection |
| title_full_unstemmed | A Man Living in the Wilderness Presents With a Unique Case of Erysipelothrix rhusiopathiae Causing Primary CNS Infection |
| title_short | A Man Living in the Wilderness Presents With a Unique Case of Erysipelothrix rhusiopathiae Causing Primary CNS Infection |
| title_sort | man living in the wilderness presents with a unique case of erysipelothrix rhusiopathiae causing primary cns infection |
| url | http://dx.doi.org/10.1155/crdi/6625621 |
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