{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:32:09Z","timestamp":1786649529538,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>\n                    <jats:italic toggle=\"yes\">Erysipelothrix rhusiopathiae<\/jats:italic>\n                    is a rare cause of infective endocarditis (IE). This study aims to report the fifth known case of intracranial manifestation resulting from\n                    <jats:italic toggle=\"yes\">E. rhusiopathiae<\/jats:italic>\n                    endocarditis. Moreover, we aim to address the main epidemiological and clinical aspects associated with this issue. A 62-year-old retired bird breeder presented with left-sided appendicular ataxia and hemiparesis. Diagnostic tests revealed endocarditis caused by\n                    <jats:italic toggle=\"yes\">E. rhusiopathiae<\/jats:italic>\n                    . He received a 6-week antibiotic course, including ampicillin, which resulted in neurological and cardiac improvement. Follow-ups demonstrated no recurrence, and he was discharged from both neurology and cardiology 1 year later. The low virulence of the\n                    <jats:italic toggle=\"yes\">E. rhusiopathiae<\/jats:italic>\n                    pathogen explains the minimal frequency of intracranial manifestations associated with the infection. However, patient\u2019s overall condition is a decisive factor in this context. This is the first reported case concerning presumed transmission by birds. Physical manifestations are more commonly found in IE involving the mitral valve compared to the aortic and tricuspid valves. Even with appropriate treatment, mortality from endocarditis associated with\n                    <jats:italic toggle=\"yes\">E. rhusiopathiae<\/jats:italic>\n                    can exceed 38%. Furthermore, IE by this microorganism often causes extensive valve damage. The positive outcome of this case emphasizes the significance of prompt recognition and appropriate management. This report highlights the need for clinical awareness regarding\n                    <jats:italic toggle=\"yes\">E. rhusiopathiae<\/jats:italic>\n                    as an etiological agent for IE and its potential complications, including stroke.\n                  <\/jats:p>","DOI":"10.4103\/ant.ant_113_0021","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:09Z","timestamp":1751846409000},"page":"165-169","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Stroke after Erysipelothrix Rhusiopathiae Endocarditis: A Case Report"],"prefix":"10.4103","volume":"34","author":[{"given":"Arthur de Oliveira","family":"Veras","sequence":"first","affiliation":[{"name":"Clinics Hospital of Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00cdcaro Ara\u00fajo","family":"de Sousa","sequence":"additional","affiliation":[{"name":"Clinics Hospital of Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoella Guerra de Albuquerque","family":"Bueno","sequence":"additional","affiliation":[{"name":"Clinics Hospital of Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen Riedi","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Clinics Hospital of Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederico Fernandes","family":"Alessio-Alves","sequence":"additional","affiliation":[{"name":"Clinics Hospital of Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oct\u00e1vio Marques","family":"Pontes-Neto","sequence":"additional","affiliation":[{"name":"Clinics Hospital of Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo, Ribeir\u00e3o Preto, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,5]]},"reference":[{"key":"R1-20260420","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1093\/qjmed\/hcaa025","article-title":"Erysipelothrix rhusiopathiae endocarditis presenting with stroke","volume":"113","author":"Tan","year":"2020","journal-title":"QJM"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1099\/00222615-48-9-789","article-title":"Erysipelothrix rhusiopathiae: Bacteriology, epidemiology and clinical manifestations of an occupational pathogen","volume":"48","author":"Brooke","year":"1999","journal-title":"J Med 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rhusiopathiae","volume":"20","author":"Artz","year":"2001","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"R7-20260420","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1001\/archneur.60.3.434","article-title":"A case of multiple brain infarctions associated with Erysipelothrix rhusiopathiae endocarditis","volume":"60","author":"Ko","year":"2003","journal-title":"Arch Neurol"},{"key":"R8-20260420","first-page":"e27789","article-title":"Triple threat: A case of Erysipelothrix rhusiopathiae septicemia complicated by multi-valvular endocarditis, spinal osteomyelitis, and septic embolic stroke","volume":"14","author":"De Narvaez","year":"2022","journal-title":"Cureus"},{"key":"R9-20260420","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1034\/j.1399-3062.1999.010208.x","article-title":"Infective endocarditis in renal transplant recipients","volume":"1","author":"Bishara","year":"1999","journal-title":"Transpl Infect 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Taiwanica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ANT.ANT_113_0021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:55:05Z","timestamp":1786647305000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ANT.ANT_113_0021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ant.ant_113_0021","relation":{},"ISSN":["1028-768X","3050-9173"],"issn-type":[{"value":"1028-768X","type":"print"},{"value":"3050-9173","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2024-03-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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