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].

• Fishing

  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]

  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]

  E. rhusiopathiae can cause an indolent cellulitis, more commonly in individuals who handle fish and raw meat. It gains entry typically by abrasions in the hand. Bacteremia and endocarditis are uncommon but serious sequelae. [definitions.net]

  […] 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]

  The organism is found in rats, birds, the slime on saltwater fish, and crabs and other shellfish, and is associated with poultry, meats, hides, and bones. [dermaamin.com]

• Heberden Node

  Rosenbach disease - Synonym(s): (1) Heberden nodes ; - (2) exostoses on the terminal phalanges of the fingers in osteoarthritis; a specific, usually self-limiting, cellulitis of the hand caused by Erysipelothrix rhusiopathiae. [medical-dictionary.thefreedictionary.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]

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].

• Erysipelothrix Rhusiopathiae

  […] 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]

  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]

  GCIDE (0.00 / 0 votes) Rate this definition: erysipeloid (n.) a usually self-limiting cellulitis of the hand somewhat resembling erysipelas, caused by the bacterium Erysipelothrix rhusiopathiae. [definitions.net]

• 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]

• Gram-Positive Rods

  Erysipeloid is a zoonotic infection caused by the gram-positive rod Erysipelothrix rhusiopathiae. [jamanetwork.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]

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]

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. [en.wikipedia.org]

Treatment The treatment of choice for erysipeloid is high-dose penicillin or ampicillin for 7 to 10 days. Patients who cannot take penicillins may be treated with a third-generation cephalosporin, imipenem, or ciprofloxacin. [dermaamin.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]

[…] 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]

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. [ufhealth.org]

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. [bmhsc.org]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.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]

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]

(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]

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]

[…] gram-positive bacteria that forms long-branching filaments with characteristic hyaline granules Bacteria are present on dead animal skin, more frequently swine Terminology Previously called Rosenbach disease, Baker-Rosenbach disease and pseudoerysipelas Epidemiology [pathologyoutlines.com]

Erysipelothrix rhusiopathiae: bacteriology, epidemiology and clinical manifestations of an occupational pathogen. J Med Microbiol. 1999 Sep. 48(9):789-99. [Medline]. Reboli AC, Farrar WE. Erysipelothrix rhusiopathiae: an occupational pathogen. [emedicine.medscape.com]

Erysipelothrix rhusiopathiae : Bacteriology, epidemiology and clinical manifestations of an occupational pathogen. J Med Microbiol 1999;48:789-99. 4. Fidalgo SG, Wang Q, Riley TV. [jacmjournal.org]

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]

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]

Prompt diagnosis and early treatment of the rare but severe systemic erysipeloid are essential to prevent serious or fatal complications. [dermnetnz.org]

1. Boyd AS, Ritchie C, Fenton JS. Cutaneous Erysipelothrix rhusiopathiae (erysipeloid) infection in an immunocompromised child. Pediatr Dermatol. 2014;31(2):232-235.
2. Mandell GL, Bennett JE, Dolin R. Mandel, Douglas and Bennett's Principles and Practice of Infectious Diseases. 8th ed. Philadelphia, Pennsylvania: Churchill Livingstone; 2015.
3. Murray PR, Rosenthal KS, Pfaller MA. Medical Microbiology. Seventh edition. Philadelphia: Elsevier/Saunders; 2013.
4. Veraldi S, Girgenti V, Dassoni F, Gianotti R. Erysipeloid: a review. Clin Exp Dermatol. 2009;34(8):859-862.
5. Brooke CJ, Riley TV. Erysipelothrix rhusiopathiae: bacteriology, epidemiology and clinical manifestations of an occupational pathogen. J Med Microbiol. 1999;48(9):789-799.