Erysipeloid

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Erysipeloid
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Cellular and colonial morphology of Erysipelothrix rhusiopathiae
Specialty Infectious diseases   OOjs UI icon edit-ltr-progressive.svg
Diagnostic method gram staining or blood Agar culture

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]

Contents

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] :264 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]

Related Research Articles

<span class="mw-page-title-main">Abscess</span> Localized collection of pus that has built up within the tissue of the body

An abscess is a collection of pus that has built up within the tissue of the body. Signs and symptoms of abscesses include redness, pain, warmth, and swelling. The swelling may feel fluid-filled when pressed. The area of redness often extends beyond the swelling. Carbuncles and boils are types of abscess that often involve hair follicles, with carbuncles being larger.

<span class="mw-page-title-main">Erysipelas</span> Human disease from a bacterial infection of the skin

Erysipelas is a relatively common bacterial infection of the superficial layer of the skin, extending to the superficial lymphatic vessels within the skin, characterized by a raised, well-defined, tender, bright red rash, typically on the face or legs, but which can occur anywhere on the skin. It is a form of cellulitis and is potentially serious.

<span class="mw-page-title-main">Cellulitis</span> Bacterial infection of the inner layers of the skin called the dermis

Cellulitis is usually a bacterial infection involving the inner layers of the skin. It specifically affects the dermis and subcutaneous fat. Signs and symptoms include an area of redness which increases in size over a few days. The borders of the area of redness are generally not sharp and the skin may be swollen. While the redness often turns white when pressure is applied, this is not always the case. The area of infection is usually painful. Lymphatic vessels may occasionally be involved, and the person may have a fever and feel tired.

<i>Erysipelothrix rhusiopathiae</i> Species of pathogenic bacterium

Erysipelothrix rhusiopathiae is a Gram-positive, catalase-negative, rod-shaped, non-spore-forming, nonacid-fast, nonmotile bacterium. Distributed worldwide, E. rhusiopathiae is primarily considered an animal pathogen, causing the disease known as erysipelas that may affect a wide range of animals. Pigs, turkeys and laying hens are most commonly affected, but cases have been reported in other mammals, birds, fish, and reptiles. In pigs, the disease is known as diamond skin disease. The bacterium can also cause zoonotic infections in humans, called erysipeloid. The human disease called erysipelas is not caused by E. rhusiopathiae, but by various members of the genus Streptococcus.

<span class="mw-page-title-main">Ceftriaxone</span> Antibiotic medication

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<span class="mw-page-title-main">Boil</span> Medical condition (infection)

A boil, also called a furuncle, is a deep folliculitis, which is an infection of the hair follicle. It is most commonly caused by infection by the bacterium Staphylococcus aureus, resulting in a painful swollen area on the skin caused by an accumulation of pus and dead tissue. Boils are therefore basically pus-filled nodules. Individual boils clustered together are called carbuncles. Most human infections are caused by coagulase-positive S. aureus strains, notable for the bacteria's ability to produce coagulase, an enzyme that can clot blood. Almost any organ system can be infected by S. aureus.

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<span class="mw-page-title-main">Paronychia</span> Medical condition

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<span class="mw-page-title-main">Herpetic whitlow</span> Medical condition

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<i>Erysipelothrix</i> Genus of bacteria

Erysipelothrix is a genus of bacteria containing four described species, Erysipelothrix rhusiopathiae, Erysipelothrix tonsillarum, Erysipelothrix inopinata and Erysipelothrix larvae. Additional species have been proposed based on DNA-DNA hybridization studies "The hallmark of Erysipelothrix is the presence of a type B cell wall, in which the peptide bridge is formed between amino acids at positions 2 and 4 of adjacent peptide side-chains and not, as in the vast majority of bacteria, between amino acids at positions 3 and 4."

<span class="mw-page-title-main">Flucloxacillin</span> Penicillin

Flucloxacillin, also known as floxacillin, is an antibiotic used to treat skin infections, external ear infections, infections of leg ulcers, diabetic foot infections, and infection of bone. It may be used together with other medications to treat pneumonia, and endocarditis. It may also be used prior to surgery to prevent Staphylococcus infections. It is not effective against methicillin-resistant Staphylococcus aureus (MRSA). It is taken by mouth or given by injection into a vein or muscle.

<span class="mw-page-title-main">Phenoxymethylpenicillin</span> Antibiotic medication

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<i>Pseudomonas</i> infection Medical condition

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<span class="mw-page-title-main">Acute generalized exanthematous pustulosis</span> Medical condition

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<span class="mw-page-title-main">Gonococcemia</span> Medical condition

Gonococcemia is a rare complication of mucosal Neisseria gonorrhoeae infection, or Gonorrhea, that occurs when the bacteria invade the bloodstream. It is characterized by fever, tender hemorrhagic pustules on the extremities or the trunk, migratory polyarthritis, and tenosynovitis. It also rarely leads to endocarditis and meningitis. This condition occurs in 0.5-3% of individuals with gonorrhea, and it usually presents 2–3 weeks after acquiring the infection. Risk factors include female sex, sexual promiscuity, and infection with resistant strains of Neisseria gonorrhoeae. This condition is treated with cephalosporin and fluoroquinolone antibiotics.

There are many circumstances during dental treatment where antibiotics are prescribed by dentists to prevent further infection. The most common antibiotic prescribed by dental practitioners is penicillin in the form of amoxicillin, however many patients are hypersensitive to this particular antibiotic. Therefore, in the cases of allergies, erythromycin is used instead.

References

  1. 1 2 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.
  2. "THE SHIP CAPTAIN'S MEDICAL GUIDE" (PDF). p. 190.
  3. 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.
  4. 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.
  5. 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.
  6. James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN   0-7216-2921-0.
  7. Rosenbach's disease at Who Named It?
  8. Klauder, Joseph V.; Righter, Linwood L.; Harkins, Malcolm J. (1926). "A distinctive and severe form of erysipeloid among fish handlers". Archives of dermatology and syphilology. 14: 662–678.
  9. 1 2 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.