Erysipeloid and Erysipelothrix rhusiopathiae Bacteremia Secondary to a Crab Stab Wound: A Case Report and Literature Review

IF 2 Q3 INFECTIOUS DISEASES Infectious microbes & diseases Pub Date : 2023-10-24 DOI:10.1097/im9.0000000000000133
Chaowen Deng, Xin Li, Defu Liu, Linlin Sun, Haiyan Ye, Fanfan Xing
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Abstract

Abstract Erysipelothrix rhusiopathiae is a facultative anaerobic, non-motile, non-spore-forming, gram-positive bacillus. It is a zoonotic pathogen that rarely infects humans, but causes swine erysipelas. The disease caused by E. rhusiopathiae can manifest in three main forms: erysipeloid, diffuse cutaneous infections, and bacteremia with or without endocarditis. In this article, we present the case study of a healthy Chinese man who developed erysipeloid and an E. rhusiopathiae bloodstream infection after being stabbed by a crab. Additionally, we conducted a thorough review of the available literature on E. rhusiopathiae bacteremia within the past two decades, and provided a summary of the key findings. Early diagnosis and proper treatment are crucial in mitigating recurrence risk and avoiding sepsis. Understanding the risk factors for death from E. rhusiopathiae bacteremia is essential, and appropriate personal protective equipment should be used to prevent occupational exposure to this bacterium.
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蟹刺伤致类丹毒及红唇丹毒菌血症1例报告及文献复习
摘要:红喉丹毒是兼性厌氧、不运动、不产芽孢的革兰氏阳性杆菌。它是一种人畜共患的病原体,很少感染人类,但会引起猪丹毒。由红脓杆菌引起的疾病可表现为三种主要形式:丹毒样,弥漫性皮肤感染和菌血症伴或不伴心内膜炎。在这篇文章中,我们提出了一个案例研究,一个健康的中国男人在被螃蟹刺伤后发展为丹毒和红脓杆菌血液感染。此外,我们进行了全面的文献综述,在过去的二十年里,对红脓杆菌菌血症的现有文献,并提供了一个总结的关键发现。早期诊断和适当治疗对于降低复发风险和避免败血症至关重要。了解红喉杆菌菌血症死亡的危险因素至关重要,应使用适当的个人防护装备,以防止职业接触这种细菌。
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