• Infection · Nov 2000

    Case Reports

    Streptobacillus moniliformis endocarditis in an HIV-positive patient.

    • T Rordorf, C Züger, R Zbinden, A von Graevenitz, and M Pirovino.
    • Dept. of Medicine, Cantonal Hospital, Olten, Switzerland.
    • Infection. 2000 Nov 1;28(6):393-4.

    AbstractStreptobacillus moniliformis is the causative agent of rat bite fever, with endocarditis being a rare but well-documented complication. We report the case of an HIV-positive man who acquired S. moniliformis endocarditis through a rat bite. No predisposing cardiac lesion was known. He was treated with ceftriaxone 2 g/day i.v. for 3 weeks, gentamicin 120 mg/day i.v. for 2 weeks and penicillin 24x10(6) units/day for 1 week. At the end of the antibiotic therapy he suffered a generalized Candida albicans infection, which was treated with fluconazole for 1 week. He was subsequently discharged in a satisfactory condition.

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