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Systemic human infections caused by have been increasingly reported especially within immunocompromised hosts and those with significant occupational exposure to livestock and aquatic animals. We report a case of bacteraemia in a patient with systemic lupus erythematosus (SLE) and present a literature review on clinical outcomes and microbiologic diagnosis for this organism. A 43-year-old female patient was reporting a 1-month history of intermittent fevers.

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Erysipelothrix rhusiopathiae bacteremia treated with linezolid.

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February 2025

Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA. Electronic address:

Article Synopsis
  • * A case of a 60-year-old woman is presented who developed E. rhusiopathiae bacteremia after injuring her leg in a sewer, with no clear animal contact, suggesting sewage as the source.
  • * She improved after being treated with intravenous penicillin, but due to her circumstances, she was switched to an oral antibiotic, linezolid, which was successful, highlighting the bacteria's resistance to vancomycin and limited alternatives for treatment.
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Bloodstream Infection Caused by in an Immunocompetent Patient.

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Department of Microbiology & Virology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.

is a facultative anaerobe Gram-positive bacillus, which is considered a zoonotic pathogen. causes erysipeloid, mainly in occupational groups such as veterinarians, slaughterhouse workers, farmers, and fishermen. Two cutaneous forms (localised and generalised) and a septicaemic form have been described.

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is an occupation-related infection that can be found in farm animals or marine life. This infection can present with a spectrum of infection ranging from local cellulitis to aortic endocarditis. Developing endocarditis is rare from this organism with only a few case reports in the literature.

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is a pleomorphic Gram-positive bacillus, zoonotic pathogen of mammals, birds and fish. Human disease caused by this organism most commonly occurs following occupational or recreational exposure to infected animals and typically presents as a localised cutaneous disease. Invasive infection resulting in bacteraemia, endocarditis or other distant sequelae is infrequently seen.

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