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Erysipeloid

Field	Value
name	Erysipeloid
image	Diseases of Swine 31-1.png
caption	Cellular and colonial morphology of Erysipelothrix rhusiopathiae
diagnosis	gram staining or blood Agar culture

In humans, Erysipelothrix rhusiopathiae infections most commonly present in a mild cutaneous form known as erysipeloid or fish poisoning. E. rhusiopathiae can cause an indolent cellulitis, more commonly in individuals who handle fish and raw meat. 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. Due to the rarity of reported human cases, E. rhusiopathiae infections are frequently misidentified at presentation.

Diagnosis

Violaceous swelling with severe pain but without pus (Which differentiates from pus forming streptococcal and staphylococcal erysipelas)

Erysipeloid of Rosenbach

Erysipeloid of Rosenbach is a cutaneous condition most frequently characterized by a purplish marginated swelling on the hands. The eponym Rosenbach's disease is in reference to the milder type of the condition and is named after Friedrich Julius Rosenbach. Early work on the condition in US fishermen was carried out by Klaunders and colleagues.

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. Erythromycin or doxycycline may be given instead to people who are allergic to penicillin. E. rhusiopathiae is intrinsically resistant to vancomycin.

References

(1999). "Erysipelothrix rhusiopat: bacteriology, epidemiology and clinical manifestations of an occupational pathogen". J Med Microbiol.
"THE SHIP CAPTAIN'S MEDICAL GUIDE".
(2000). "Topically acquired bacterial zoonoses from fish: a review". Med J Aust.
(2001). "Endocarditis due to rare and fastidious bacteria". Clin Microbiol Rev.
(2005). "Mitro-aortic infective endocarditis produced by ''Erysipelothrix rhusiopathiae'': case report and review of the literature". J Heart Valve Dis.
(2006). "Andrews' Diseases of the Skin: clinical Dermatology". Saunders Elsevier.
{{WhoNamedIt. synd. 1267. Rosenbach's disease
(1926). "A distinctive and severe form of erysipeloid among fish handlers". Archives of Dermatology and Syphilology.
Vinetz J. (October 4, 2007). "''Erysipelothrix rhusiopathiae''". [[Johns Hopkins University]].

Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

bacterium-related-cutaneous-conditions zoonotic-bacterial-diseases zoonoses

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