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Classification and external resources

Blood agar plate culture of Erysipelothrix rhusiopathiae
ICD-10 A26.
ICD-9 027.1
DiseasesDB 4432
MedlinePlus 000632
eMedicine derm/602
MeSH D004887

In humans, Erysipelothrix rhusiopathiae infections most commonly present in a mild cutaneous form known as erysipeloid.[1] E. rhusiopathiae can cause an indolent cellulitis, more commonly in individuals who handle fish and raw meat.[2] It gains entry typically by abrasions in the hand. Bacteremia and endocarditis are uncommon but serious sequelae.[3][4] Due to the rarity of reported human cases, E. rhusiopathiae infections are frequently misidentified at presentation.[1]


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.[5] Erythromycin or doxycycline may be given instead to people who are allergic to penicillin. E. rhusiopathiae is intrinsically resistant to vancomycin.[5]

See also


  1. ^ a b Brooke C, Riley T (1999). "Erysipelothrix rhusiopathiae: bacteriology, epidemiology and clinical manifestations of an occupational pathogen". J Med Microbiol 48 (9): 789–99. PMID 10482289.  
  2. ^ Lehane L, Rawlin G (2000). "Topically acquired bacterial zoonoses from fish: a review". Med J Aust 173 (5): 256–9. PMID 11130351.  
  3. ^ Brouqui P, Raoult D (2001). "Endocarditis due to rare and fastidious bacteria". Clin Microbiol Rev 14 (1): 177–207. doi:10.1128/CMR.14.1.177-207.2001. PMID 11148009.  
  4. ^ Nassar I, de la Llana R, Garrido P, Martinez-Sanz R (2005). "Mitro-aortic infective endocarditis produced by Erysipelothrix rhusiopathiae: case report and review of the literature". J Heart Valve Dis 14 (3): 320–4. PMID 15974525.  
  5. ^ a b Vinetz J (October 4, 2007). "Erysipelothrix rhusiopathiae". Point-of-Care Information Technology ABX Guide. Johns Hopkins University.   Retrieved on October 28, 2008. Freely available with registration.


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