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Updated: Jul 20, 2026

Necropsy-based Wild Fish Health Assessment
Published on: September 11, 2018
Occupational injury in a fishmonger with a macular rash, hepatosplenomegaly and pancytopenia
L J Cooke1, K M Bowles, J I O Craig
1Department of Haematology, Addenbrooke's Hospital, Cambridge, UK. lisajc@doctors.org.uk
Abstract:
A 47-year-old fishmonger presented with a history of weight loss and lethargy. On investigation he was found to have myeloma. He presented again before follow up, with a 3-day history of fever and a maculopapular rash. He was admitted to the haematology ward and treated with broad-spectrum antibiotics. Blood cultures were found to be positive for Erysipelothrix rhusiopathiae. Penicillin treatment was given, and he made a good recovery. The importance of occupational illness in an already immunocompromised patient and of taking a proper social and occupational history from patients on admission is illustrated through this case.
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