Erysipeloid
Template:Cs1 config Template:Infobox medical condition (new) In humans, Erysipelothrix rhusiopathiae infections most commonly present in a mild cutaneous form known as erysipeloid[1] or fish poisoning.[2] E. rhusiopathiae can cause an indolent cellulitis, more commonly in individuals who handle fish and raw meat.[3] Erysipelothrix rhusiopathiae also causes Swine Erysipelas. It is common in domestic pigs and can be transmitted to humans who work with swine. It gains entry typically by abrasions in the hand. Bacteremia and endocarditis are uncommon but serious sequelae.[4][5] Due to the rarity of reported human cases, E. rhusiopathiae infections are frequently misidentified at presentation.[1]
Diagnosis
Violaceous swelling with severe pain but without pus (Which differentiates from pus forming streptococcal and staphylococcal erysipelas)[citation needed]
Erysipeloid of Rosenbach
Erysipeloid of Rosenbach is a cutaneous condition most frequently characterized by a purplish marginated swelling on the hands.[6]Template:Rp The eponym Rosenbach's disease is in reference to the milder type of the condition and is named after Friedrich Julius Rosenbach.[7] Early work on the condition in US fishermen was carried out by Klaunders and colleagues.[8]
Treatment
The treatment of choice is a single dose of benzathine benzylpenicillin given by intramuscular injection, or a five-day to one-week course of either oral penicillin or intramuscular procaine benzylpenicillin.[9] Erythromycin or doxycycline may be given instead to people who are allergic to penicillin. E. rhusiopathiae is intrinsically resistant to vancomycin.[9]
References
Page Template:Reflist/styles.css has no content.
- ^ a b Page Module:Citation/CS1/styles.css has no content.Brooke C, Riley T (1999). "Erysipelothrix rhusiopat: bacteriology, epidemiology and clinical manifestations of an occupational pathogen". J Med Microbiol. 48 (9): 789–99. doi:10.1099/00222615-48-9-789. PMID 10482289.
- ^ Page Module:Citation/CS1/styles.css has no content."THE SHIP CAPTAIN'S MEDICAL GUIDE" (PDF). p. 190.
- ^ Page Module:Citation/CS1/styles.css has no content.Lehane L, Rawlin G (2000). "Topically acquired bacterial zoonoses from fish: a review". Med J Aust. 173 (5): 256–9. doi:10.5694/j.1326-5377.2000.tb125632.x. PMID 11130351. S2CID 25479478.
- ^ Page Module:Citation/CS1/styles.css has no content.Brouqui P, Raoult D (2001). "Endocarditis due to rare and fastidious bacteria". Clin Microbiol Rev. 14 (1): 177–207. doi:10.1128/CMR.14.1.177-207.2001. PMC 88969. PMID 11148009.
- ^ Page Module:Citation/CS1/styles.css has no content.Nassar I, de la Llana R, Garrido P, Martinez-Sanz R (2005). "Mitro-aortic infective endocarditis produced by Erysipelothrix rhusiopathiae: case report and review of the literature". J Heart Valve Dis. 14 (3): 320–4. PMID 15974525.
- ^ Page Module:Citation/CS1/styles.css has no content.James, William D., Berger, Timothy G., et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
- ^ Rosenbach's disease at Whonamedit?
- ^ Page Module:Citation/CS1/styles.css has no content.Klauder JV, Righter LL, Harkins MJ (1926). "A distinctive and severe form of erysipeloid among fish handlers". Archives of Dermatology and Syphilology. 14 (6): 662–678. doi:10.1001/archderm.1926.02370240029003.
- ^ a b Page Module:Citation/CS1/styles.css has no content.Vinetz J (October 4, 2007). "Erysipelothrix rhusiopathiae". Point-of-Care Information Technology ABX Guide. Johns Hopkins University. Archived from the original on June 7, 2008. Retrieved March 10, 2009. Retrieved on October 28, 2008. Freely available with registration.
External links
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