Indiana University Infectious Diseases Fellowship
4 Mar,
9 tweets, 4 min read
#idboardreview 40 pig farmer recently got abrasions to his arms and face during a hike, also had duck bite to his finger, presents w/ fever & diffuse annular body rash. Diagnosis? #medEd #idmedEd #idtwitter 
Gram-positive facultative anaerobe rod #Erysipelothrix rhusiopathiae. Mainly an occupationally acquired zoonosis transmitted by feces, water, soil, or food scraps contaminated by a wide variety of mammals, birds, and fish
#erysipelothrix is acquired through puncture wounds & scratches of the skin. Occupational zoonosis of butchers, veterinarians, and fishermen. Most important reservoir is healthy domestic swine, up to half of which harbor it their tonsils
#erysipelothrix contact with other animals has led various eponyms including “whale finger,” “seal finger,” and “fish handlers’ disease”. In addition, infection can be acquired through cuts or abrasions on the skin in contact with soil and plant matter
#erysipelothrix rhusiopathiae 3 forms of human disease: Erysipeloid (a localized cutaneous form), diffuse cutaneous, and systemic disease.
#erysipelothrix Localized most common presents as inflammatory plaque with well-defined, raised borders usually on the fingers or back of the hand.
Diffuse systemic:widespread violaceous lesions that may be rhomboid-shaped.
Disseminated form bacteremia w/ IE
Diffuse systemic:widespread violaceous lesions that may be rhomboid-shaped.
Disseminated form bacteremia w/ IE
#erysipelothrix R. f. cirrhosis and immunosuppression. Penicillin is drug of choice. Ampicillin and ceftriaxone are alternatives
• • •
Missing some Tweet in this thread? You can try to
force a refresh
