ABSTRACT
Erysipeloid is an occupational infection of the skin caused by traumatic penetration of Erysipelothrix rhusiopathiae. The disease is characterized clinically by an erythematous oedema, with well-defined and raised borders, usually localized to the back of one hand and/or fingers. Vesicular, bullous and erosive lesions may also be present. The lesion may be asymptomatic or accompanied by mild pruritus, pain and fever. In addition to cutaneous infection, E. rhusiopathiae can cause endocarditis, which may be acute or subacute. Endocarditis is rare and has a male predilection. It usually occurs in previously damaged valves, predominantly the aortic valve. Endocarditis does not occur in patients with valvular prostheses and is not associated with intravenous drug misuse. Diagnosis of localized erysipeloid is based on the patient's history (occupation, previous traumatic contact with infected animals or their meat) and clinical picture (typical skin lesions, lack of severe systemic features, slight laboratory abnormalities and rapid remission after treatment with penicillin or cephalosporin).
Subject(s)
Erysipeloid , Occupational Diseases , Animal Husbandry , Animals , Diagnosis, Differential , Erysipeloid/drug therapy , Erysipeloid/etiology , Erysipeloid/pathology , Humans , Infection Control/standards , Occupational Diseases/drug therapy , Occupational Diseases/etiology , Occupational Diseases/pathology , Occupational ExposureABSTRACT
BACKGROUND: Rouget du porc, or swine erysipelas, usually occurs in man as Rosenbach's erysipeloid. Septicemic forms are more uncommon and can be associated with dermal involvement far from the site of inoculation. We report a case in a patient given corticosteroid therapy for systematic lupus. CASE REPORT: A 50-year-old farmer was seen with fever, infiltrative erythema of the long finger and dorsal lesions on the ring finger which developed after a skin lesions caused by a duck. The diagnosis of septicemic rouget du porc was made after isolating the germ from blood cultures. There was no associated endocarditis. Fever and skin lesions totally regressed after treatment with ceftriaxone. DISCUSSION: The diagnosis of erysipeloid was supported by epidemiologic arguments and characteristic clinical features. The corticosteroid therapy was probably a favoring factor for development of septicemia. Positive diagnosis is usually obtained from blood culture but the germ can be isolated from skin biopsies at the site of inoculation. Our patient was free of endocarditis which should always be suspected. Endocarditis is frequent and often fatal. Intravenous high-dose penicillin G is recommanded treatment.
Subject(s)
Bacteremia/diagnosis , Bites and Stings/complications , Ducks , Erysipeloid/diagnosis , Skin Diseases, Infectious/diagnosis , Animals , Bacteremia/drug therapy , Bacteremia/etiology , Ceftriaxone/therapeutic use , Cephalosporins/therapeutic use , Erysipeloid/drug therapy , Erysipeloid/etiology , Humans , Male , Middle Aged , Skin Diseases, Infectious/drug therapy , Skin Diseases, Infectious/etiologyABSTRACT
Erysipeloid takes the second place after eczema among other occupational diseases at the meat-processing enterprises of Lugansk region. The maximal occurrence is seen at the meat enterprises in summer. The morbidity is promoted by slight traumatism in cold and humid work conditions. Skin and joints are most frequently affected by the disease. One of each four among the sufferers demonstrates the prolonged course with longstanding arthropathies.
Subject(s)
Erysipeloid/etiology , Meat-Packing Industry , Occupational Diseases , Adolescent , Adult , Aged , Erysipeloid/epidemiology , Female , Humans , Male , Middle Aged , Occupational Diseases/epidemiology , Occupational Diseases/etiology , Occupations , RussiaABSTRACT
Erysipelothrix rhusiopathiae is a nonsporulating, gram-positive, rod-shaped bacterium which was identified more than 100 years ago as the etiologic agent of swine erysipelas. Since then, it has been found to cause infection in several dozen species of mammals and other animals. Humans become infected through exposure to infected or contaminated animals or animal products. By far the most common type of human infection is a localized, self-limited cutaneous lesion, erysipeloid. Diffuse cutaneous and systemic infections occur rarely. Approximately 50 cases of endocarditis have been reported; all but one recent case have involved native valves. The organism may be isolated from biopsy or blood specimens on standard culture media. It is identified by morphology, lack of motility, and biochemical characteristics; identification may be confirmed by the mouse protection test. It is susceptible to penicillins, cephalosporins, erythromycin, and clindamycin, but it is often resistant to many other antibiotics, including vancomycin, a drug frequently used in empiric therapy for infections due to gram-positive bacteria.
Subject(s)
Erysipeloid , Erysipeloid/epidemiology , Erysipelothrix Infections , Erysipelothrix Infections/epidemiology , Erysipelothrix/growth & development , Animals , Erysipeloid/drug therapy , Erysipeloid/etiology , Erysipeloid/pathology , Erysipelothrix/isolation & purification , Erysipelothrix Infections/drug therapy , Erysipelothrix Infections/etiology , Erysipelothrix Infections/pathology , HumansABSTRACT
A female patient aged 56 is described, suffering from a cutaneoarticular form of erysipeloid, that developed after application of raw fat at the site of injury to the third toe of the left foot. The process completely regressed within a week after a single intake of sulfalene in a dose of 2.0 g.
Subject(s)
Erysipeloid/pathology , Foot Dermatoses/pathology , Erysipeloid/drug therapy , Erysipeloid/etiology , Female , Foot Dermatoses/drug therapy , Foot Dermatoses/etiology , Humans , Middle Aged , Sulfalene/therapeutic use , Toe JointABSTRACT
La picadura por L.L. puede producir diversos cuadros clínicos que varían desde una pequeña ulceración banal hasta el cuadro de L.C.H. Presentamos el aso de un paciente que con un cuadro cutáneo tipo erisipela desarrolla un L.C.H. con fallo renal agudo y signos de hemólisis; Se hace referencia a las características de este tipo de picadura, su importância en nuestro medio. Se señalan pautas de diagnóstico y tratamiento
Subject(s)
Middle Aged , Humans , Erysipeloid/etiology , Spider Bites/complications , Spider Bites/pathologyABSTRACT
La picadura por L.L. puede producir diversos cuadros clínicos que varían desde una pequeña ulceración banal hasta el cuadro de L.C.H. Presentamos el aso de un paciente que con un cuadro cutáneo tipo erisipela desarrolla un L.C.H. con fallo renal agudo y signos de hemólisis; Se hace referencia a las características de este tipo de picadura, su importÔncia en nuestro medio. Se señalan pautas de diagnóstico y tratamiento (AU)
Subject(s)
Middle Aged , Humans , Spider Bites/complications , Erysipeloid/etiology , Spider Bites/pathologySubject(s)
Dermatitis, Contact/etiology , Erysipeloid/etiology , Hand Dermatoses/etiology , Aged , Animals , Fats/adverse effects , Humans , Male , SwineABSTRACT
Attention is drawn to relaxation of the pelvic viscera, one of the remote complications of the surgical procedure employed for cure in invasive carcinoma of the vulva. Though seldom discussed in the literature, this problem complicated 17% of the 58 radical vulvectomy procedures in this series. Justification is discussed for the performance of reconstructive or preventive surgical procedures during the primary operation.
