Erysipeloid is a cutaneous infection caused by a bacterial pathogen Erysipelothrix rhusiopathiae. Skin injury and subsequent occupational exposure to livestock and other animals result in a cellulitis-like lesion, but several distinguishing characteristics may be identified. Patient history, clinical signs and microbiological investigations are necessary during workup, but the diagnosis can be made based on clinical criteria.
Presentation
Erysipeloid is considered to be a zoonotic infection, meaning that exposure to contaminated animal products is a mandatory step in the pathogenesis of the infection [1] [2]. Chicken, turkey, and fish are common animal hosts of Erysipelothrix rhusiopathiae, and its transfer to humans almost exclusively happens after fishing, livestock handling or other occupations involving animal contact [1] [2] [3]. The organism is inoculated onto previously abraded or injured skin (as a result of occupational or accidental injury), and after an incubation period of several days (2-7 in most cases), initial signs and symptoms appear. Because of the nature of acquisition of the infection, lesions predominantly appear on the hands and fingers [4] [5]. Some patients may experience an asymptomatic course of the disease, but burning, itching or throbbing pain at the site of skin injury followed by edema, erythema, and localized inflammation is a typical finding [2] [3]. The lesion is well-defined, contains raised edges and mimics subacute cellulitis, which is why it is often misdiagnosed as erysipelas or cellulitis, caused by streptococcal or staphylococcal species, respectively [3] [5]. Furthermore, the absence of suppuration, together with a history of animal contact and immense pain, are distinguishing features of erysipeloid [3]. In addition, vesicles, bullae, and erosions can be encountered, while proximal lymphadenopathy and signs of more severe infection (fever, arthralgia) are seen in a small number of cases [4] [5]. In the majority of cases, the clinical course is self-limiting, and spontaneous resolution is seen within 3-4 weeks without the need for antibiotic therapy, but in rare cases, relapses have been documented [3] [5].
Entire Body System
- Fishing
[…] erysipeloid | Erysipelothrix rhusiopathiae [species, sense-specific] Syllabification: (er·y·sip·e·loid) | [medicine] | dermatitis of the hands due to bacterial infection, occurring mainly among handlers of meat and fish ... (19 of 57 words, 3 definitions [memidex.com]
We present a case of a 50-year-old housewife whose hobby was fishing, with a reddish, tender patch on the fifth finger and dorsum of the left hand, which developed a week after she had sustained an injury while boning the fish. [ncbi.nlm.nih.gov]
In humans, Erysipelothrix rhusiopathiae infections most commonly present in a mild cutaneous form known as erysipeloid or fish poisoning. E. rhusiopathiae can cause an indolent cellulitis, more commonly in individuals who handle fish and raw meat. [en.wikipedia.org]
It is acquired by handling meat or fish infected with Erysipelothrix rhusiopathiae. The disease is self-limited, lasting about 3 weeks, but responds to penicillin. Also called fish-handler's disease. Compare erysipelas. [medical-dictionary.thefreedictionary.com]
Retrieved March 24th, 2019, from https://www.yourdictionary.com/erysipeloid erysipeloid noun An acute infectious disease of humans caused by the bacterium Erysipelothrix rhusiopathiae, usually contracted from contact with contaminated meat, fish, or shellfish [yourdictionary.com]
- Pain
[…] infection and sometimes by fever and joint pain. [yourdictionary.com]
[…] spleen, pain, adult onset, chest pain, appendix, appendicitis, amyloid, SAA [autoinflammatory-search.org]
[…] infection and sometimes by fever and joint pain. erysipeloid [er′isip′əloid] Etymology: Gk, erhthros + pella + eidos, form an infection of the hands characterized by blue-red patches and occasionally by erythema. [medical-dictionary.thefreedictionary.com]
Lesions may be warm and tender and cause pain or burning. A severe systemic form of erysipeloid may develop. This is where other organs are infected, such as the heart, brain, joints and lungs. [streetdirectory.com]
- Weight Loss
Patients with systemic disease may experience symptoms such as chills, fever, headache, joint pain and weight loss. Skin lesions may or may not be apparent in patients with systemic erysipeloid. Erysipeloid can be treated with penicillin. [streetdirectory.com]
Patients with systemic disease may experience symptoms such as chills, fever, headache, joint pain and weight loss. Skin lesions may or may not be apparent in patients with systemic erysipeloid. [explainmedicine.com]
- Sepsis
Erysipelothrix Erysipelothrix disease (disorder) Erysipelothrix sepsis Sepsis due to Erysipelothrix Applies To Erysipeloid (of Rosenbach) Infection by Erysipelothrix insidiosa [E. rhusiopathiae] Septicemia by Erysipelothrix insidiosa [E. rhusiopathiae [icd9data.com]
Our observations suggest that Erysipelothrix rhusiopathiae is capable of producing L forms that may revert to a bacterial form and produce sepsis at a later time. [ncbi.nlm.nih.gov]
Rarely, the disease may progress to sepsis (infection of the bloodstream). [emedicinehealth.com]
Sepsis produces typical peripheral stigmata, including signs of endocarditis. Treatment The treatment of choice for erysipeloid is high-dose penicillin or ampicillin for 7 to 10 days. [dermaamin.com]
Individuals with systemic infection may even die of sepsis, if the proper diagnosis is not made and treatment is not initiated early on. [emedicine.medscape.com]
- Asymptomatic
The lesion may be asymptomatic or accompanied by mild pruritus, pain and fever. In addition to cutaneous infection, E. rhusiopathiae can cause endocarditis… CONTINUE READING Tweets This paper has been referenced on Twitter 2 times. [semanticscholar.org]
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. [ncbi.nlm.nih.gov]
Some patients may experience an asymptomatic course of the disease, but burning, itching or throbbing pain at the site of skin injury followed by edema, erythema, and localized inflammation is a typical finding. [symptoma.com]
[…] known as erysipeloid of Rosenbach); vesicles or bullae may develop [7] Diffuse cutaneous form Generalized or systemic infection as evidenced by bacteremia: Endocarditis may or may not develop. [8] In the first two forms of erysipeloid, patients may be asymptomatic [emedicine.medscape.com]
Respiratoric
- Pertussis
Orf 70 Ornithosis 72 Osteomyelitis 18 Otitis media 20 Paracoccidioidomycosis 22 Parainfluenza virus infection 26 Parvovirus B19 infection 28 Pediculosis 28 Pericarditis bacterial 30 Perinephric abscess 32 Perirectal abscess 34 Peritonitis bacterial 36 Pertussis [books.google.com]
- Common Cold
Chlamydia infections misc Chlamydophila pneumoniae infection Cholecystitis cholangitis Cholera Chromomycosis Chronic fatigue syndrome Chronic meningococcemia Clonorchiasis Clostridial food poisoning Clostridial myonecrosis Clostridium difficile colitis Common [books.google.com]
Skin
- Dermatitis
[…] erysipeloid | Erysipelothrix rhusiopathiae [species, sense-specific] Syllabification: (er·y·sip·e·loid) | [medicine] | dermatitis of the hands due to bacterial infection, occurring mainly among handlers of meat and fish ... (19 of 57 words, 3 definitions [memidex.com]
[…] action=getRecordDetail&idt=19282412 Other title Erysipelas.like dermatitis of the legs revealing aspergilloma of the maxillary sinus (en) Author CHOFFRAY, A1 2 ; FLAGEUL, B1 ; DUBERTRET, L1 ; VIGUIER, M1 [1] Service de Dermatologie, Hôpital Saint-Louis [pascal-francis.inist.fr]
[…] er·y·sip·e·loid | \ ˌer-ə-ˈsip-(ə-)ˌlȯid, ˌir- \ Medical Definition of erysipeloid (Entry 1 of 2) : an acute dermatitis resembling erysipelas that is caused by the bacterium of the genus Erysipelothrix ( E. rhusiopathiae ) that causes swine erysipelas [merriam-webster.com]
[…] noun mass noun Medicine Dermatitis of the hands due to bacterial infection, occurring mainly among handlers of meat and fish products. [en.oxforddictionaries.com]
Erysipeloid is form of dermatitis that is caused by bacteria. It contracts by handling meat or fish infected with the bacterium. Erysipelothrix rhusiopathiae. It is caused by the microorganism Erysipelothrix rhusiopathiae (insidiosa). [streetdirectory.com]
- Skin Disease
Definitions er·y·sip·e·loid an infectious skin disease caused by bacteria ( Erysipelothrix rhusiopathiae ) and characterized by red-colored lesions Origin of erysipeloid see erysipelas and -oid Webster's New World College Dictionary, Fifth Edition Copyright [yourdictionary.com]
[…] erysipeloid in American ( ˌɛrɪˈsɪpəˌlɔɪd ; erˌisipˈəl o i dˌ ; ˌ ɪrɪˈsɪpəˌɔɪd ; irˌisipˈə o i dˌ ) Substantiv an infectious skin disease caused by bacteria ( Erysipelothrix rhusiopathiae ) and characterized by red-colored lesions Webster’s New World College [collinsdictionary.com]
Erisipeloid (synonym: erisipeloid of Rosenbach, swine erysipelas ) is an infectious skin disease caused by Bacillus swine erysipelas. Infection occurs when working with meat, fish, poultry, especially when injections skin of fish bone. [medicalency.com]
A wealth of new features makes it easier, than any other resource, to identify, treat, and manage the full range of skin diseases. Presents outstanding photographs for virtually every common skin disorder. [books.google.com]
- Skin Rash
Localized skin rash Erysipeloid is an acute bacterial infection of the skin and other organs caused by the microorganism Erysipelothrix rusiopathiae. [explainmedicine.com]
Its main toxicities include myelosuppression, flu-like symptoms, bronchospasms and mild skin rash. [ncbi.nlm.nih.gov]
Its main toxicities include myleosuppression, flu-like symptoms, bronchospasms and mild skin rash. [insights.ovid.com]
rash, but it is quite well tolerated. [cancerjournal.net]
Neurologic
- Seizure
More recently, the relationship between endocarditis and the Whipple's disease bacillus was established in a patient who presented with diarrhea, fever, grand mal seizure, and a history of a 20-kg weight loss over 4 years 297. [doi.org]
- Irritability
Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, depression, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically [connectel.sn]
Workup
The diagnosis of erysipeloid may be difficult to obtain without a proper patient history and a thorough examination of the wound. Firstly, a detailed interview with the patient about his/her occupation and possible animal contact, as well as recent injury to the skin is an essential step in order to suspect Erysipelothrix rhusiopathiae as a possible cause. Moreover, a detailed physical examination of the lesion can reveal key features of erysipeloid, and the diagnosis can often be made solely on clinical criteria supported by details from patient history [5]. A confirmation of the pathogen, however, can only be obtained after microbiological testing. A viable sample for cultivation requires a full-thickness biopsy of the lesion (due to the fact that bacteria is located deep within the skin), but the results may be provided after at least 3 or more days [3]. Visualization of thin, gram-positive rods is considered diagnostic, but gram stains and other cultivation methods frequently yield negative results [3]. For this reason, the introduction of novel molecular techniques, such as polymerase chain reaction (PCR), is slowly being introduced into regular practice, since they can rapidly detect bacterial DNA [2].
Microbiology
- Erysipelothrix Rhusiopathiae
Erysipelothrix rhusiopathiae. Vet Microbiol. 2010 Jan 27. 140(3-4):405-17. [Medline]. Boyd AS, Ritchie C, Fenton JS. Cutaneous Erysipelothrix rhusiopathiae (erysipeloid) infection in an immunocompromised child. [emedicine.medscape.com]
Definitions er·y·sip·e·loid an infectious skin disease caused by bacteria ( Erysipelothrix rhusiopathiae ) and characterized by red-colored lesions Origin of erysipeloid see erysipelas and -oid Webster's New World College Dictionary, Fifth Edition Copyright [yourdictionary.com]
[…] erysipeloid | Erysipelothrix rhusiopathiae [species, sense-specific] Syllabification: (er·y·sip·e·loid) | [medicine] | dermatitis of the hands due to bacterial infection, occurring mainly among handlers of meat and fish ... (19 of 57 words, 3 definitions [memidex.com]
[…] erysipeloid [ er″ĭ-sip´ĕ-loid ] 1. bacterial cellulitis due to infection with Erysipelothrix rhusiopathiae, usually occurring as an occupational disease associated with the handling of infected fish, shellfish, meat, or poultry. [medical-dictionary.thefreedictionary.com]
From Wikidata Jump to navigation Jump to search infections most commonly present in a mild cutaneous Erysipelothrix rhusiopathiae infectious disease Infection due to E. rhusiopathiae Infection due to Erysipelothrix rhusiopathiae edit English erysipeloid [wikidata.org]
- Gram-Positive Rods
Erysipeloid is a zoonotic infection caused by the gram-positive rod Erysipelothrix rhusiopathiae. [jamanetwork.com]
Visualization of thin, gram-positive rods is considered diagnostic, but gram stains and other cultivation methods frequently yield negative results. [symptoma.com]
Erysipeloid is caused by the non–spore-forming, non–acid-fast, gram-positive rod microorganism, Erysipelothrix rhusiopathiae (insidiosa), which long has been known to cause animal and human infections. [emedicine.medscape.com]
Definition / general A rare disease, with ~ 50 articles published from 1950 - 2008 Erysipelothrix rhusiopathiae, formerly named Erysipelothrix insidiosa, is a rod-shaped, nonmotile, gram-positive bacteria that forms long-branching filaments with characteristic [pathologyoutlines.com]
- Gram-Positive Bacteria
Entry H01315 Disease Name Erysipeloid; Swine erysipelas Category Infectious disease Brite Infectious diseases [BR: br08401 ] Bacterial infections Infections caused by Gram-positive bacteria H01315 Erysipeloid Human diseases in ICD-11 classification [BR [genome.jp]
Definition / general A rare disease, with ~ 50 articles published from 1950 - 2008 Erysipelothrix rhusiopathiae, formerly named Erysipelothrix insidiosa, is a rod-shaped, nonmotile, gram-positive bacteria that forms long-branching filaments with characteristic [pathologyoutlines.com]
Gram staining was done, and Gram-positive filamentous bacteria were seen [Figure 4]. Figure 2: Grams stain of the pus showing Gram-positive filamentous bacteria Click here to view Biochemical reactions were performed. [jacmjournal.org]
To avoid confusing a gram-negative coccus with a gram-positive coccus, we add vancomycin and colimycin to our standard antibiotic susceptibility test medium 152 ; gram-positive bacteria are susceptible to vancomycin, whereas most gram-negative bacteria [doi.org]
Treatment
Treatment *Mild cases may resolve if heat exposure is avoided *Severe cases may never resolve unfortunately *Treatments to improve appearance of the affected area may be considered There is no specific treatment for Erythema ab igne except for avoiding [ozarkderm.com]
Treatment: In most cases, healing occurs without treatment within 2 weeks. Penicillin G or a cephalosporin can shorten the time to healing. Back to Dermatology Glossary - E Index | Back to Dermatology Glossary Index [skincareguide.ca]
Prompt diagnosis and early treatment of the rare but severe systemic erysipeloid are essential to prevent serious or fatal complications. [dermnetnz.org]
[…] on the patient's occupation (housewife), history of previous traumatic contact with a scorpion fish, typical inflammatory lesions located on one hand, lack of severe systemic features, mild laboratory abnormalities and rapid remission after specific treatment [ncbi.nlm.nih.gov]
A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. [leehealth.org]
Prognosis
Prognosis Erysipeloid usually is an acute, self-limited infection of the skin that resolves without consequences. [emedicine.medscape.com]
Predicted outcome The prognosis for erysipeloid is excellent. Alternatives A number of infectious and non-infectious skin conditions may mimic erysipeloid. Appropriate specialists Infectious disease specialist, dermatologist, and cardiologist. [nmihi.com]
Outlook (Prognosis) Erysipeloid may get better on its own. It rarely spreads. If it does spread, the lining of the heart can become infected. This condition is called endocarditis. References Habif TP. Bacterial infections. In: Habif TP, ed. [mountsinai.org]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Etiology. Listeria is gram-positive, non-acid resistant. BORING PIGS Erysipelas suum, Erysipelothrix rhusiopathiae, Rhusiopathia suia; Eng. - Swine Erysipelas, Diamond disease; see color inset). [en.medicine-guidebook.com]
ERYSIPELOID Etiology and Epidemiology Erysipeloid, an acute infection of traumatized skin caused by E. rhusiopathiae (formerly E. insidiosa), occurs most frequently in fishermen, butchers, kitchen workers, and others who handle raw fish, poultry (especially [dermaamin.com]
(V.) panamensis was identified as the etiologic agent. Our cases extend the spectrum of clinical presentations in New World leishmaniasis. Copyright 2005 The American Society of Tropical Medicine Article metrics loading... [ajtmh.org]
In the latter case, the etiologic agents are either fastidious extracellular or intracellular bacteria. [doi.org]
Epidemiology
We report the epidemiological and clinical characteristics of the erysipeloid form of cutaneous leishmaniasis as well as its diagnostic and therapeutic challenges. [ncbi.nlm.nih.gov]
ERYSIPELOID Etiology and Epidemiology Erysipeloid, an acute infection of traumatized skin caused by E. rhusiopathiae (formerly E. insidiosa), occurs most frequently in fishermen, butchers, kitchen workers, and others who handle raw fish, poultry (especially [dermaamin.com]
Submit an Article Received: 19/01/1999 Accepted: 15/03/1999 Cover date: 01/09/1999 Abstract Fulltext Figs (0) References (0) Cited By (140) Supplementary Material (0) Metrics Related Content Preview this: Erysipelothrix rhusiopathiae : bacteriology, epidemiology [doi.org]
Epidemiology Frequency Infection with E rhusiopathiae occurs in worldwide distribution in a variety of animals, especially hogs. Race No racial predilection is recognized for erysipeloid. [emedicine.medscape.com]
Pathophysiology
Pathophysiology E rhusiopathiae, which is highly resistant to environmental factors, enters the skin through scratches or pricks. In the skin, the organism is capable of producing certain enzymes that help it dissect its way through the tissues. [emedicine.medscape.com]
(iii) Pathophysiology and echocardiography. Patients suffering from Q fever endocarditis have profound lymphocyte unresponsiveness to C. burnetii that results in a lack of macrophage activation 244. [doi.org]
Prevention
Prevention: prevention of minor injuries at work meat - and fish factories (automation of production, work clothes), and immediate processing of skin injuries 2% alcoholic iodine solution, fluid Novikov and other disinfectants. [medicalency.com]
Prompt diagnosis and early treatment of the rare but severe systemic erysipeloid are essential to prevent serious or fatal complications. [dermnetnz.org]
Get the skills you need now with new information on global humanitarian relief and expedition medicine, plus expanded coverage of injury prevention and environmental preservation. [books.google.com]
References
- Boyd AS, Ritchie C, Fenton JS. Cutaneous Erysipelothrix rhusiopathiae (erysipeloid) infection in an immunocompromised child. Pediatr Dermatol. 2014;31(2):232-235.
- Mandell GL, Bennett JE, Dolin R. Mandel, Douglas and Bennett's Principles and Practice of Infectious Diseases. 8th ed. Philadelphia, Pennsylvania: Churchill Livingstone; 2015.
- Murray PR, Rosenthal KS, Pfaller MA. Medical Microbiology. Seventh edition. Philadelphia: Elsevier/Saunders; 2013.
- Veraldi S, Girgenti V, Dassoni F, Gianotti R. Erysipeloid: a review. Clin Exp Dermatol. 2009;34(8):859-862.
- Brooke CJ, Riley TV. Erysipelothrix rhusiopathiae: bacteriology, epidemiology and clinical manifestations of an occupational pathogen. J Med Microbiol. 1999;48(9):789-799.