A Man Living in the Wilderness Presents With a Unique Case of Erysipelothrix rhusiopathiae Causing Primary CNS Infection

dc.contributor.authorSmith, Kevin Andrew
dc.contributor.authorMéndez, Alejandra
dc.contributor.authorReese, Lindsey J.
dc.contributor.departmentMedicine, School of Medicine
dc.date.accessioned2025-04-22T09:29:24Z
dc.date.available2025-04-22T09:29:24Z
dc.date.issued2025-03-19
dc.description.abstractWe 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.
dc.eprint.versionFinal published version
dc.identifier.citationSmith KA, Méndez A, Reese LJ. A Man Living in the Wilderness Presents With a Unique Case of Erysipelothrix rhusiopathiae Causing Primary CNS Infection. Case Rep Infect Dis. 2025;2025:6625621. Published 2025 Mar 19. doi:10.1155/crdi/6625621
dc.identifier.urihttps://hdl.handle.net/1805/47267
dc.language.isoen_US
dc.publisherHindawi
dc.relation.isversionof10.1155/crdi/6625621
dc.relation.journalCase Reports in Infectious Diseases
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourcePMC
dc.subjectErysipelothrix rhusiopathiae
dc.subjectCentral nervous system
dc.subjectClinical management
dc.subjectCraniectomy
dc.subjectSubdural hematoma
dc.titleA Man Living in the Wilderness Presents With a Unique Case of Erysipelothrix rhusiopathiae Causing Primary CNS Infection
dc.typeArticle
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