Erysipeloid

Template:Cs1 config Template:Infobox medical condition (new) In humans, Erysipelothrix rhusiopathiae infections most commonly present in a mild cutaneous form known as erysipeloid<ref name=Brooke_1999>Template:Cite journal</ref> or fish poisoning.<ref>{{#invoke:citation/CS1|citation |CitationClass=web }}</ref> E. rhusiopathiae can cause an indolent cellulitis, more commonly in individuals who handle fish and raw meat.<ref name=Lehane_2000>Template:Cite journal</ref> Erysipelothrix rhusiopathiae also causes Swine Erysipelas. It is common in domestic pigs and can be transmitted to humans who work with swine. It gains entry typically by abrasions in the hand. Bacteremia and endocarditis are uncommon but serious sequelae.<ref name=Brouqui_2001>Template:Cite journal</ref><ref name=Nassar_2005>Template:Cite journal</ref> Due to the rarity of reported human cases, E. rhusiopathiae infections are frequently misidentified at presentation.<ref name=Brooke_1999 />

Diagnosis

Violaceous swelling with severe pain but without pus (Which differentiates from pus forming streptococcal and staphylococcal erysipelas)Template:Citation needed

Erysipeloid of Rosenbach

Erysipeloid of Rosenbach is a cutaneous condition most frequently characterized by a purplish marginated swelling on the hands.<ref name="Andrews">Template:Cite book</ref>Template:Rp The eponym Rosenbach's disease is in reference to the milder type of the condition and is named after Friedrich Julius Rosenbach.<ref>Template:WhoNamedIt</ref> Early work on the condition in US fishermen was carried out by Klaunders and colleagues.<ref>Template:Cite journal</ref>

Treatment

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.<ref name=POC-IT>{{#invoke:citation/CS1|citation |CitationClass=web }} Retrieved on October 28, 2008. Freely available with registration.</ref> Erythromycin or doxycycline may be given instead to people who are allergic to penicillin. E. rhusiopathiae is intrinsically resistant to vancomycin.<ref name=POC-IT/>