<i>ERYSIPELOTHRIX RHUSIOPATHIAE</i>

Grieco, Michael H.; Sheldon, Christopher

doi:10.1111/j.1749-6632.1970.tb45578.x

Cited by 61 publications

(33 citation statements)

References 30 publications

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“…Symptoms appear 2 to 7 days after contamination. Usually, violaceous skin lesions are present with an advancing pink border and clearing of skin previously involved 13 . Absence of suppuration and pitting distinguishes erysipeloid from other pyogenic cutaneous infections such as staphylococcal or streptococcal cellulitis 1013 .…”

Section: Discussionmentioning

confidence: 99%

“…In 1884 ROSENBACH first described the erysipela-like lesions of the human skin caused by Erysipelothrix rhusiopathiae; hence, the skin disease is called erysipeloid of ROSEN-BACH 2527 . Contact with contaminated animals is the usual route of penetration, and therefore occupational contacts and cutaneous infections occur primarily among kitchen and slaughterhouse workers, butchers, fishermen, poultry workers, farmers and veterinarians 13 , generally affecting hand or arms. Symptoms appear 2 to 7 days after contamination.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the authors agree as to the importance of predisposing factors 5 such as previous heart disease, congenital cardiac anomalies, alcoholism, poor nutrition and diabetes 4 ' 519 . Endocarditis can occur without primary or secundary skin lesions 13 . Cutaneous erysipeloid was present in only 50% of the patients with endocarditis 11 .…”

Section: Discussionmentioning

confidence: 99%

“…Positive cultures are rarely obtained from material collected from swabs of a local lesion. Biopsies should be taken and cultured in glucose broth followed by subculture on blood agar plates 13 . Only a few cases have been studied histologically.…”

Section: Discussionmentioning

confidence: 99%

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Erysipelothrix endocarditis with previous cutaneous lesion: report of a case and review of the literature

Rocha¹,

Fontoura

Azevedo

et al. 1989

Rev. Inst. Med. trop. S. Paulo

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SUMMARYThis report describes the first documented case of Erysipelothrix rhusiopathiae endocarditis in Latin America. The patient was a 51-years-old male, moderate alcoholic, with a previous history of aortic failure. He was used to fishing and cooking as a hobby and had his left hand wounded by a fish-bone. The disease began with erysipeloid form and developed to septicemia and endocarditis. He was treated with antibiotics and surgery for aortic valve replacement. There are only 46 cases of E. rhusiopathiae endocarditis reported to date. The authors wonder if several other cases might go unreported for lack of microbiological laboratorial diagnosis.KEY WORDS: Erysipelothrix, Endocarditis, Erysipeloid. CASE REPORTA 51-years-old white male was admitted to Hospital Mãe de Deus on November 30, spring of 1987, for evaluation of unexplained fever. He was a retired, mild alcoholic, who used to fish and cook as a hobby. On October 12, while cleaning some fish, he had gashed his left hand thumb, developing probable erysipeloid disease that was not detected at the time. Fifteen days later, his right foot showed signs of infection, with an erythematous lesion. His doctor prescribed corticosteroid and erythromicin for 2 days. Articular pain and astenia persisted and about 3 weeks later patient had sudden thoracic pain and a cough with ferruginous sputum. He was admitted to a hospital with a diagnosis of pneumonia and received daily doses of oxytetracycline while in the hospital. He was discharged on the seventh day but, as fever persisted, he went to Hospital Mãe de Deus. He reported feeling articular pain, dyspnea on effort and astenia. Several years earlier he had been told to have a heart murmur. When admitted, he had a fever of 37.6°C. Physical examination showed a well-fed man, with slightly discoloured mucous membranes; sistodiastolic aortic murmur + + /6; crepitation on the base of the right lung; no hepato or splenomegalies, no haemorrhagic suffusions; blood pressure 110/60 mmHg; bilateral pulmonar infiltration evident on chest X-ray; normal electrocardiogram; white blood cells count 5.000/cu.mm; normal differential count, haematocrit 32% and haemoglobin 10.2 mg/dl; erythrocyte sedimentation rate 112 mm/hr.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Erysipelothrix endocarditis with previous cutaneous lesion: report of a case and review of the literature

Rocha¹,

Fontoura

Azevedo

et al. 1989

Rev. Inst. Med. trop. S. Paulo

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“…La infección se contrae a través de heridas al contacto con animales enfermos o portadores, sus productos u objetos contaminados con sus desechos 3 . En el hombre puede manifestarse como afección cutánea localizada (erisepeloide de Rosenbach), afección cutánea difusa sin bacteriemia, o con presentación bacteriémica (con o sin compromiso cutáneo) manifestada como endocarditis infecciosa o artritis 4 . La endocarditis infecciosa (EI) es una forma grave de presentación, con mortalidad próxima a 40% y elevada morbilidad 5 .…”

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