{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:44:44Z","timestamp":1790729084471,"version":"4.1.0"},"reference-count":9,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,5,12]]},"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>We describe a rare case of bloodstream infection and disseminated septic arthritis in a relatively fit and well 73-year-old retired farmer and gamekeeper, due to the zoonotic organism <jats:italic>Streptococcus equi<\/jats:italic>. The presence of the organism in multiple joints led to slow clinical response to treatment and was complicated by relapse of infection and lengthy disability. Source control was achieved with multiple joint washouts and spinal cord decompression. Following this, a 6-week course of intravenous antibiotics was required for complete clearance of infection. After a long period of rehabilitation, the patient made a good recovery. This case demonstrates that <jats:italic>S. equi<\/jats:italic> can cause life threatening and difficult to treat sepsis in humans and requires a high index of suspicion in people who have regular contact with equine species, cattle and unpasteurised milk.<\/jats:p>","DOI":"10.1136\/bcr-2019-234188","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T06:59:31Z","timestamp":1591599571000},"page":"e234188","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Disseminated septic arthritis caused by <i>Streptococcus equi<\/i> infection"],"prefix":"10.1136","volume":"13","author":[{"given":"Khudaim Mohammed","family":"Mobeen","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases, Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janine","family":"Carter","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaheer","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Radiology, Blackpool Victoria Hospital, Blackpool, Lancashire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Minton","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Leeds Teaching Hospitals NHS Trust, Leeds, UK"},{"name":"Department of Infectious Diseases, University of Leeds School of Medicine, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,6,7]]},"reference":[{"key":"2025082802573933000_13.6.e234188.1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1907.121365"},{"key":"2025082802573933000_13.6.e234188.2","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-010-1037-5"},{"key":"2025082802573933000_13.6.e234188.3","doi-asserted-by":"publisher","DOI":"10.1111\/jvim.15043"},{"key":"2025082802573933000_13.6.e234188.4","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-006-0119-x"},{"key":"2025082802573933000_13.6.e234188.5","unstructured":"Pelonen S , Lindahl S , Suomala P , et al . Transmission of Streptococcus equi subspecies zooepidemicus infection from horses to humans."},{"key":"2025082802573933000_13.6.e234188.6","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis803"},{"key":"2025082802573933000_13.6.e234188.7","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-016-1889-0","article-title":"Outcome of patients with streptococcal prosthetic joint infections with special reference to rifampicin combinations","volume":"16","author":"Fiaux","year":"2016","journal-title":"BMC Infect Dis"},{"key":"2025082802573933000_13.6.e234188.8","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.01694-12"},{"key":"2025082802573933000_13.6.e234188.9","doi-asserted-by":"crossref","unstructured":"Grayson M . Kucer\u2019s: The use of antibiotics. 7th edn, 2010.","DOI":"10.1201\/b13787"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-234188","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:57:48Z","timestamp":1756375068000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-234188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":9,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,6,7]]},"published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1136\/bcr-2019-234188"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-234188","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]}}}