erysipeloid

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| name = Erysipeloid

| image = Diseases of Swine 31-1.png

| caption = Cellular and colonial morphology of Erysipelothrix rhusiopathiae

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In humans, Erysipelothrix rhusiopathiae infections most commonly present in a mild cutaneous form known as erysipeloid{{cite journal |doi=10.1099/00222615-48-9-789 |vauthors=Brooke C, Riley T |title=Erysipelothrix rhusiopat: bacteriology, epidemiology and clinical manifestations of an occupational pathogen |journal=J Med Microbiol |volume=48 |issue=9 |pages=789–99 |year=1999 |pmid=10482289|doi-access=free }} or fish poisoning.{{cite web|url=http://www.dft.gov.uk/mca/mcga-shs_capt_guide_chap8.pdf|page=190|title=THE SHIP CAPTAIN'S MEDICAL GUIDE}} E. rhusiopathiae can cause an indolent cellulitis, more commonly in individuals who handle fish and raw meat.{{cite journal |vauthors=Lehane L, Rawlin G |title=Topically acquired bacterial zoonoses from fish: a review |journal=Med J Aust |volume=173 |issue=5 |pages=256–9 |year=2000 |pmid=11130351|doi=10.5694/j.1326-5377.2000.tb125632.x |s2cid=25479478 }} 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.{{cite journal |vauthors=Brouqui P, Raoult D |title=Endocarditis due to rare and fastidious bacteria |journal=Clin Microbiol Rev |volume=14 |issue=1 |pages=177–207 |year=2001 |pmid=11148009 |doi=10.1128/CMR.14.1.177-207.2001 |pmc=88969}}{{cite journal |vauthors=Nassar I, de la Llana R, Garrido P, Martinez-Sanz R |title=Mitro-aortic infective endocarditis produced by Erysipelothrix rhusiopathiae: case report and review of the literature |journal=J Heart Valve Dis |volume=14 |issue=3 |pages=320–4 |year=2005 |pmid=15974525}} 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){{citation needed|date=January 2023}}

Erysipeloid of Rosenbach

Erysipeloid of Rosenbach is a cutaneous condition most frequently characterized by a purplish marginated swelling on the hands.{{cite book |author1=James, William D. |author2=Berger, Timothy G. |title=Andrews' Diseases of the Skin: clinical Dermatology |publisher=Saunders Elsevier |year=2006 |isbn=0-7216-2921-0 |display-authors=etal}}{{rp|264}} The eponym Rosenbach's disease is in reference to the milder type of the condition and is named after Friedrich Julius Rosenbach.{{WhoNamedIt|synd|1267|Rosenbach's disease}} Early work on the condition in US fishermen was carried out by Klaunders and colleagues.{{cite journal |last1=Klauder |first1=Joseph V. |last2=Righter |first2=Linwood L. |last3=Harkins |first3=Malcolm J. |title=A distinctive and severe form of erysipeloid among fish handlers |journal=Archives of Dermatology and Syphilology |date=1926 |volume=14 |issue=6 |pages=662–678|doi=10.1001/archderm.1926.02370240029003 }}

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.{{cite web |url=http://prod.hopkins-abxguide.org/pathogens/bacteria/aerobic_gram_positive_bacillus/erysipelothrix_rhusiopathiae.html |title=Erysipelothrix rhusiopathiae |author=Vinetz J |date=October 4, 2007 |work=Point-of-Care Information Technology ABX Guide |publisher=Johns Hopkins University |access-date=March 10, 2009 |archive-url=https://web.archive.org/web/20080607033900/http://prod.hopkins-abxguide.org/pathogens/bacteria/aerobic_gram_positive_bacillus/erysipelothrix_rhusiopathiae.html |archive-date=June 7, 2008 |url-status=dead }} Retrieved on October 28, 2008. Freely available with registration. Erythromycin or doxycycline may be given instead to people who are allergic to penicillin. E. rhusiopathiae is intrinsically resistant to vancomycin.

References

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