Zoonotic Endocarditis in a Man, the Netherlands

Emerg Infect Dis. 2019 Jan;25(1):180-182. doi: 10.3201/eid2501.181029.

Abstract

In 2017, endocarditis caused by Streptococcus equi subspecies zooepidemicus was diagnosed in a man in the Netherlands who had daily contact with horses. Whole-genome sequencing of isolates from the man and his horses confirmed the same clone, indicating horse-to-human transmission. Systematic reporting of all zoonotic cases would help with risk assessment.

Keywords: Streptococcus equi subsp. Zooepidemicus; bacteria; endocarditis; horse; streptococci; the Netherlands; whole-genome sequencing; zoonoses.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Anti-Bacterial Agents / administration & dosage*
  • Endocarditis / diagnostic imaging*
  • Endocarditis / drug therapy
  • Endocarditis / microbiology
  • Gentamicins / administration & dosage
  • Horse Diseases / microbiology*
  • Horses
  • Humans
  • Male
  • Middle Aged
  • Penicillins / administration & dosage
  • Polymorphism, Single Nucleotide / genetics
  • Streptococcal Infections / diagnostic imaging*
  • Streptococcal Infections / drug therapy
  • Streptococcal Infections / microbiology
  • Streptococcal Infections / transmission
  • Streptococcus equi / genetics
  • Streptococcus equi / isolation & purification*
  • Treatment Outcome
  • Ultrasonography
  • Whole Genome Sequencing
  • Zoonoses

Substances

  • Anti-Bacterial Agents
  • Gentamicins
  • Penicillins