Erysipeloid (Fish Handler’s Disease) | Figure 4.12
A: Cutaneous diphtheria
(Courtesy of Public Health
Image Library: CDC)
B: Cutaneous anthrax
(Courtesy of James Steele,
CDC)
C: Erysipeloid
(Reprint from Mandell G, ed.
Atlas of Infectious Diseases.
Philadelphia PA: Current
Medicine LLC; 2002) |
(Figure 4.12C) - Infection caused by Erysipelothrix rhusiopathiae through direct contact with infected meat, seen mainly in meat-handlers, fisherman, or veterinarians
- Presents with painful red to purple patches over hands (finger webs often involved, sparing terminal phalange) with sharply marginated spreading edge, possible central clearing, and/or hemorrhagic vesicles
- Systemic form with fever, arthralgias, widespread cutaneous lesions, possible sepsis, and fatal endocarditis
- Treatment: pencillin (if PCN allergy → erythromycin)
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