Erysipeloid

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Erysipeloid
Classification and external resources

Blood agar plate culture of Erysipelothrix rhusiopathiae
ICD-10 A26
ICD-9 027.1
DiseasesDB 4432
MedlinePlus 000632
eMedicine derm/602
MeSH D004887

In humans, Erysipelothrix rhusiopathiae infections most commonly present in a mild cutaneous form known as erysipeloid.[1] E. rhusiopathiae can cause an indolent cellulitis, more commonly in individuals who handle fish and raw meat.[2] It gains entry typically by abrasions in the hand. Bacteremia and endocarditis are uncommon but serious sequelae.[3][4] Due to the rarity of reported human cases, E. rhusiopathiae infections are frequently misidentified at presentation.[1]

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.[5] Erythromycin or doxycycline may be given instead to people who are allergic to penicillin. E. rhusiopathiae is intrinsically resistant to vancomycin.[5]

See also

References

  1. ↑ 1.0 1.1 Brooke C, Riley T (1999). "Erysipelothrix rhusiopathiae: 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. ↑ Lehane L, Rawlin G (2000). "Topically acquired bacterial zoonoses from fish: a review". Med J Aust 173 (5): 256–9. PMID 11130351. 
  3. ↑ 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. 
  4. ↑ 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. 
  5. ↑ 5.0 5.1 Vinetz J (October 4, 2007). "Erysipelothrix rhusiopathiae". Point-of-Care Information Technology ABX Guide. Johns Hopkins University.  Retrieved on October 28, 2008. Freely available with registration.
Firmicutes (low-G+C) Infectious diseases · Bacterial diseases: G+ (primarily A00–A79, 001–041, 080–109)
Bacilli
Streptococcus
α
β
γ
Clostridia
Clostridium (spore-forming)
Peptostreptococcus (non-spore forming)
Peptostreptococcus magnus
Mollicutes
Mycoplasmataceae

M: BAC

bact (clas)

gr+f/gr+a (t)/gr-p (c)/gr-o

drug (J1p, w, n, m, vacc)

Infectious skin disease: Bacterial skin disease (L00–L08, 680–686)
Gram +
Gram -
Other
Unspecified
pathogen

M: INT, SF, LCT

anat/phys/devp

noco (i/b/d/q/u/r/p/m/k/v/f)/cong/tumr (n/e/d), sysi/epon

proc, drug (D2/3/4/5/8/11)

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