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Webster, Duncan
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Webster, Duncan
author Chang, Albert
Webster, Duncan
spellingShingle Chang, Albert
Webster, Duncan
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An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
Infectious Diseases
Microbiology (medical)
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spelling Chang, Albert Webster, Duncan 2371-0888 University of Toronto Press Inc. (UTPress) Infectious Diseases Microbiology (medical) http://dx.doi.org/10.3138/jammi.2018-0026 <jats:p> Streptococcus equi subspecies zooepidemicus infections in humans can be contracted through contact with domestic animals or unpasteurized dairy products. Although infection in humans is rare, the course can be fulminant. We describe the case of a 75-year-old immunocompetent male who developed disseminated disease with bacteremia, native aortic valve endocarditis, suppurative pericarditis with cardiac tamponade, meningitis, and bilateral endophthalmitis. Despite treatment with pericardial drain placement, intravenous ceftriaxone, and rifampin, the patient unfortunately did not survive. To date, reported cases of disseminated infection by S. equi subsp zooepidemicus are few. Furthermore, with review of the literature, this case demonstrates the broadest organ system involvement reported. Of interest, previous studies have suggested an affinity of this organism for certain organ systems and this case corroborates an emerging association of S. equi subsp zooepidemicus with endophthalmitis. In addition, this is the second Canadian case of documented human infection, with both cases being similar in clinical features, presentation, and geographical location. This case report should serve to warn clinicians about complications and sites of haematogenous seeding in the setting of disseminated S. equi subsp zooepidemicus infections. </jats:p> An Atlantic Canada case of disseminated <i>Streptococcus equi</i> subspecies <i>zooepidemicus</i> infection Official Journal of the Association of Medical Microbiology and Infectious Disease Canada
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title An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
title_unstemmed An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
title_full An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
title_fullStr An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
title_full_unstemmed An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
title_short An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
title_sort an atlantic canada case of disseminated <i>streptococcus equi</i> subspecies <i>zooepidemicus</i> infection
topic Infectious Diseases
Microbiology (medical)
url http://dx.doi.org/10.3138/jammi.2018-0026
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description <jats:p> Streptococcus equi subspecies zooepidemicus infections in humans can be contracted through contact with domestic animals or unpasteurized dairy products. Although infection in humans is rare, the course can be fulminant. We describe the case of a 75-year-old immunocompetent male who developed disseminated disease with bacteremia, native aortic valve endocarditis, suppurative pericarditis with cardiac tamponade, meningitis, and bilateral endophthalmitis. Despite treatment with pericardial drain placement, intravenous ceftriaxone, and rifampin, the patient unfortunately did not survive. To date, reported cases of disseminated infection by S. equi subsp zooepidemicus are few. Furthermore, with review of the literature, this case demonstrates the broadest organ system involvement reported. Of interest, previous studies have suggested an affinity of this organism for certain organ systems and this case corroborates an emerging association of S. equi subsp zooepidemicus with endophthalmitis. In addition, this is the second Canadian case of documented human infection, with both cases being similar in clinical features, presentation, and geographical location. This case report should serve to warn clinicians about complications and sites of haematogenous seeding in the setting of disseminated S. equi subsp zooepidemicus infections. </jats:p>
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description <jats:p> Streptococcus equi subspecies zooepidemicus infections in humans can be contracted through contact with domestic animals or unpasteurized dairy products. Although infection in humans is rare, the course can be fulminant. We describe the case of a 75-year-old immunocompetent male who developed disseminated disease with bacteremia, native aortic valve endocarditis, suppurative pericarditis with cardiac tamponade, meningitis, and bilateral endophthalmitis. Despite treatment with pericardial drain placement, intravenous ceftriaxone, and rifampin, the patient unfortunately did not survive. To date, reported cases of disseminated infection by S. equi subsp zooepidemicus are few. Furthermore, with review of the literature, this case demonstrates the broadest organ system involvement reported. Of interest, previous studies have suggested an affinity of this organism for certain organ systems and this case corroborates an emerging association of S. equi subsp zooepidemicus with endophthalmitis. In addition, this is the second Canadian case of documented human infection, with both cases being similar in clinical features, presentation, and geographical location. This case report should serve to warn clinicians about complications and sites of haematogenous seeding in the setting of disseminated S. equi subsp zooepidemicus infections. </jats:p>
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spelling Chang, Albert Webster, Duncan 2371-0888 University of Toronto Press Inc. (UTPress) Infectious Diseases Microbiology (medical) http://dx.doi.org/10.3138/jammi.2018-0026 <jats:p> Streptococcus equi subspecies zooepidemicus infections in humans can be contracted through contact with domestic animals or unpasteurized dairy products. Although infection in humans is rare, the course can be fulminant. We describe the case of a 75-year-old immunocompetent male who developed disseminated disease with bacteremia, native aortic valve endocarditis, suppurative pericarditis with cardiac tamponade, meningitis, and bilateral endophthalmitis. Despite treatment with pericardial drain placement, intravenous ceftriaxone, and rifampin, the patient unfortunately did not survive. To date, reported cases of disseminated infection by S. equi subsp zooepidemicus are few. Furthermore, with review of the literature, this case demonstrates the broadest organ system involvement reported. Of interest, previous studies have suggested an affinity of this organism for certain organ systems and this case corroborates an emerging association of S. equi subsp zooepidemicus with endophthalmitis. In addition, this is the second Canadian case of documented human infection, with both cases being similar in clinical features, presentation, and geographical location. This case report should serve to warn clinicians about complications and sites of haematogenous seeding in the setting of disseminated S. equi subsp zooepidemicus infections. </jats:p> An Atlantic Canada case of disseminated <i>Streptococcus equi</i> subspecies <i>zooepidemicus</i> infection Official Journal of the Association of Medical Microbiology and Infectious Disease Canada
spellingShingle Chang, Albert, Webster, Duncan, Official Journal of the Association of Medical Microbiology and Infectious Disease Canada, An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection, Infectious Diseases, Microbiology (medical)
title An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
title_full An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
title_fullStr An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
title_full_unstemmed An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
title_short An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
title_sort an atlantic canada case of disseminated <i>streptococcus equi</i> subspecies <i>zooepidemicus</i> infection
title_unstemmed An Atlantic Canada case of disseminated Streptococcus equi subspecies zooepidemicus infection
topic Infectious Diseases, Microbiology (medical)
url http://dx.doi.org/10.3138/jammi.2018-0026