A 47-year-old man presented with headache, nausea, vomiting and fever. Laboratory findings including analysis of cerebrospinal fluid suggested bacterial meningitis. was identified in cultures of cerebrospinal fluid. The patient recovered without any neurological sequelae after antimicrobial treatment. It is interesting that intracranial infection by reappeared after scores of years and that it presented with absence of an underlying cause or bacteraemia.


Article metrics loading...

Loading full text...

Full text loading...



  1. Artz, A. L., Szabo, S., Zabel, L. T. & Hoffmeister, H. M. ( 2001; ). Aortic valve endocarditis with paravalvular abscesses caused by Erysipelothrix rhusiopathiae. Eur J Clin Microbiol Infect Dis 20, 587–588.[CrossRef]
    [Google Scholar]
  2. Beristain, X., Lopez-Lopategui, M. C., Bidaguren, J., Fernandez, C. & Idigoras, P. ( 2002; ). Erysipelothrix rhusiopathiae bacteremia without endocarditis or evidence of the entry point in an immunocompetent woman. Enferm Infecc Microbiol Clin 20, 137–138.
    [Google Scholar]
  3. Brooke, C. J. & Riley, T. V. ( 1999; ). Erysipelothrix rhusiopathiae: bacteriology, epidemiology and clinical manifestations of an occupational pathogen. J Med Microbiol 48, 789–799.[CrossRef]
    [Google Scholar]
  4. Clarridge, J. E. & Spiegel, C. A. ( 2003; ). Erysipelothrix. In Manual of Clinical Microbiology, 8th edn, pp. 467–468. Edited by P. R. Murray, E. J. Baron, J. H. Jorgensen, M. A. Pfaller & R. H. Yolken. Washington, DC: American Society for Microbiology.
  5. Dumont, J. A. & Cotoni, L. ( 1921; ). Bacille semblable au bacille du rouget du porc rencontre dans le liquide cephalo-rachidien d'un meningitique. Ann Inst Pasteur (Paris) 35, 625–633.
    [Google Scholar]
  6. Dunbar, S. A. & Clarridge, J. E. ( 2000; ). Potential errors in recognition of Erysipelothrix rhusiopathiae. J Clin Microbiol 38, 1302–1304.
    [Google Scholar]
  7. Ko, S. B., Kim, D. E., Kwon, H. M. & Roh, J. K. ( 2003; ). A case of brain infarction associated with Erysipelothrix rhusiopathiae endocarditis. Arch Neurol 60, 434–436.[CrossRef]
    [Google Scholar]
  8. Reboli, A. C. & Farrar, W. E. ( 1989; ). Erysipelothrix rhusiopathiae: an occupational pathogen. Clin Microbiol Rev 2, 354–359.
    [Google Scholar]
  9. Schuster, M. G., Brennan, P. J. & Edelstein, P. ( 1993; ). Persistent bacteremia with Erysipelothrix rhusiopathiae in a hospitalized patient. Clin Infect Dis 17, 783–784.[CrossRef]
    [Google Scholar]
  10. Silberstein, E. B. ( 1965; ). Erysipelothrix endocarditis: report of a case with cerebral manifestations. JAMA 191, 862–864.[CrossRef]
    [Google Scholar]
  11. Vallianatos, P. G., Tilentzoglou, A. C. & Koutsoukou, A. D. ( 2003; ). Septic arthritis caused by Erysipelothrix rhusiopathiae infection after arthroscopically assisted anterior cruciate ligament reconstruction. Arthroscopy 19, E26
    [Google Scholar]
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error