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Classification and external resources
Diseases of Swine 31-1.png
Cellular and colonial morphology 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 erysipeloid1 or fish poisoning.2 E. rhusiopathiae can cause an indolent cellulitis, more commonly in individuals who handle fish and raw meat.3 It gains entry typically by abrasions in the hand. Bacteremia and endocarditis are uncommon but serious sequelae.45 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.6 Erythromycin or doxycycline may be given instead to people who are allergic to penicillin. E. rhusiopathiae is intrinsically resistant to vancomycin.6

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. doi:10.1099/00222615-48-9-789. PMID 10482289. 
  3. ^ Lehane L, Rawlin G (2000). "Topically acquired bacterial zoonoses from fish: a review". Med J Aust 173 (5): 256–9. PMID 11130351. 
  4. ^ 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. PMC 88969. PMID 11148009. 
  5. ^ 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. 
  6. ^ 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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