HistoryThis section has been translated automatically.
Baker 1873; Rosenbach 1887; Klauder 1926
DefinitionThis section has been translated automatically.
Bacterial zoonosis in which the pathogen Erysipelotrix rhusiopathiae is transmitted via contact with infected vertebrates (e.g. pigs (= red pork), saltwater fish, crabs, shellfish or poultry - especially turkeys). The infection is exclusively limited to contact persons (fishermen, butchers, housewives) and usually occurs in the summer months. Epidemics are also known among crab fishermen(crab dermatitis).
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PathogenThis section has been translated automatically.
Erysipelothrix rhusiopathiae (Erysipelothrix insidiosa), gram-positive bacterium.
EtiopathogenesisThis section has been translated automatically.
Infection through contact with pork, game, fish. Also after bites from animals, e.g. cat bites (Kobayashi KI et al. 2019).
ManifestationThis section has been translated automatically.
Mainly occurring in butchers, housewives, fishermen.
LocalizationThis section has been translated automatically.
Especially hands (fingers) are affected.
Clinical featuresThis section has been translated automatically.
Three clinical courses of infection are distinguished in humans (Wang T et al. 2020):
- the localized erysipeloid
- the diffuse cutaneous erysipeloid
- Rare are septic forms that can lead to infective endocarditis.
Localized erysipeloid (classic course form): After an incubation period of 3-8 days, (one or) multiple 2.0-5.0 cm, moderately painful or only mildly tense, livid spots/plaques develop at the inoculation site(s) with a tendency to centrifugal extension. The affected area is arcuately bordered by the active zones of progression. Centrally, healing occurs. In contrast to erysipelas, the flame-like margins are absent, as is the acuity of erysipelas with painful lymphadenitis.
Concomitant: moderate fever, mild lymphadenitis, rarely minor arthritic symptoms.
Bronchitis occurs after inhalation of the causative agent.
Septic erysipeloid: Rarely, septicFforms with endocarditis may also occur in immunocompetent patients.
DiagnosticsThis section has been translated automatically.
Culture from biopsy material. Culutreal detection is also possible from tissue fluid material obtained by scarification from the marginal area of the focus of infection.
Differential diagnosisThis section has been translated automatically.
Erysipelas: higher acuity with fever, pain, lymphadenopathy and lymphadenitis
Drug reaction, fixed: localized, spotty or plaque shaped, also bullous or erosive skin reaction; there is a temporal connection with the intake of drugs.
Erysipeloid-like skin reactions have been described after gemcitabine (Ruiz-Casado A et al. 2015).
Erythema chronicum migrans: 10-30 days after tick bite a roundish-oval, sharply edged, centrally pale red or even livid red erythema which slowly expands centrifugally. If the tick bite persists for a longer period of time, a ring-like structure develops due to central pallor, which often still shows a central bite reaction in the form of a red papule. Rarely localized on the hands. No fever, no pain. Tick bite mostly memorable.
External therapyThis section has been translated automatically.
Internal therapyThis section has been translated automatically.
Penicillin V (e.g. Megacillin) 1,2-3 million IU/day p.o. over 10 days.
Alternatively Clindamycin (e.g. Sobelin) 3 times/day 300-600 mg p.o.
Alternatively erythromycin (e.g. erythrocyin) 3 times/day 500 mg p.o./i.v.
Note(s)This section has been translated automatically.
For infections of animals, there are various vaccines available to veterinarians. Vaccination can be carried out with inactivated vaccines from the 12th week of life. Live vaccines can be used from the age of 6 weeks. The booster vaccination is then usually given twice a year.
LiteratureThis section has been translated automatically.
- Baker WM (1873) Erythema serpens. St Bartholomew's Hosp Rep (London) 9: 198-211.
- Rosenbach AJF (1887) On the erysipeloid. Arch klin Chir (Berlin) 36: 346
- Klauder JV (1926) Erysipeloid and swine erysipelas in man. A clinical and bacteriological review: Swine erysipelas in the United States. J Am Med Assoc (Chicago) 86: 536-541.
- Klauder JV et al (1926) A distinctive form of erysipeloid among fish handlers. Arch Dermatol Syphilol (Chicago) 14: 622.
- Kobayashi KI et al.(2019) Erysipelothrix rhusiopathiae bacteremia following a cat bite.
- Ruiz-Casado A et al. (2015) Erysipeloid rash: A rare adverse event induced by gemcitabine. J Cancer Res Ther 11:1024.
Veraldi S et al (2009) Erysipeloid: a review. Clin Exp Dermatol 34:859-862.
Wang T et al (2020) Erysipelothrix rhusiopathiae endocarditis. IDCases 22:e00958.
Incoming links (14)Crab dermatitis; Erysipelas infection of humans; Erythema; Erythema migrans; Erythema migrans; Fishmonger's red run; Fish rose; Infectious diseases of the skin; Occupational skin disease according to bk 5101; Occupational skin disease according to bk 5101; ... Show all
Outgoing links (9)Antiseptic; Clindamycin; Crab dermatitis; Drug reaction fixe; Erysipelas; Erythema migrans; Erythromycin; Penicillin v; Zoonoses (overview);
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