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    skin infection

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    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    110 views4 pages

    Erysipeloid

    Uploaded by

    oren_so
    skin infection

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    http://www.ncbi.nlm.nih.gov/pubmed/22957967 http://www.dermis.net/dermisroot/en/10747/diagnose.htm http://emedicine.medscape.

    com/article/1054170-overview
    Definition and Etiology Erysipeloid (Rosenbach erysipeloid) is an acute bacterial infection of traumatized skin and other organs. Erysipeloid is caused by the microorganism Erysipelothrix rhusiopathiae (insidiosa), which long has been known to cause animal and human infections. Direct contact between meat and traumatized human skin results in erysipeloid especially,commercial fishing (fishmongers). Other more-generalized forms of infection with this organism also exist, including a septic form usually associated with endocarditis. Many infections may be self-limited. They have rarely been reported in children or in immunocompromised patients. This microbe is sensitive to many mainstream antibiotic agents.The infection is more likely to occur during the summer or early fall. Diagnosis

    Erysipeloid may present in humans as one of 3 clinical forms. 1.Localized form of erysipeloid Lesions most commonly affect the hands, mainly the webs of the fingers; however, any exposed area of the body may be affected. Lesions consist of well-demarcated, bright red-to-purple plaques with a smooth, shiny surface. Lesions are warm and tender. They leave a brownish discoloration on the skin when resolving. Sometimes vesicles may be present

    2.Diffuse cutaneous form of erysipeloid Multiple lesions appear on various parts of the body. Lesions are well-demarcated, violaceous plaques with an advancing border and central clearing. 3.Systemic form of erysipeloid Skin lesions may not be apparent. If present, skin lesions appear as localized areas of swelling surrounding a necrotic center. Skin lesions also may present as several follicular, erythematous papules. Endocarditis is the most common, but still rare, manifestation of systemic erysipeloid.[7] In the first 2 forms of erysipeloid, patients present with local burning or pain at lesion sites. They may or not have fever, malaise, and other constitutional symptoms. In the generalized form, patients present with fever, chills, weight loss, and a variety of other symptoms (eg, joint pain, cough, headache), depending on the organ system involved. Differential diagnosis - Cellulitis - Erysipelas Treatment -Medical Care The antibiotics of choice for the 3 forms of erysipeloid is penicillin or cephalosporin.Ceftriaxone proved to have an effect against Erysipelothrix rhusiopathiae. In patients who are allergic to penicillin, ciprofloxacin alone or erythromycin in combination with rifampin may be used. The microorganism is resistant to vancomycin, an important consideration in patients with endocarditis caused by E rhusiopathiae.

    E rhusiopathiae has been shown to be eradicated from surfaces by the use of simple home disinfectants; thus, an important step in the prevention of infection may be to spray hazardous work areas (eg, fishing boats, meat counters) with disinfectants. -Surgical Care Procedures usually are not used in the cutaneous form of erysipeloid. Even a simple incision and drainage of lesions is not recommended as this may prolong the recovery time. Individuals with the systemic form of erysipeloid may undergo surgery (eg, cardiac valve replacement), pleural tap, or other procedures, depending on extent of organ involvement.

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