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[Baker Rosenbach erysipeloid appearing as a granulomatous cheilitis]

J Koufane1, Y Afifi, I Khoudri

  • 1Service de dermatologie, CHU Ibn Sina, Souissi, 10000 Rabat, Maroc. johana.med@gmail.com

Annales De Dermatologie Et De Venereologie
|February 23, 2010
PubMed
Abstract

Insights

This case report details a rare instance of chronic Erysipelothrix rhusiopathiae infection presenting as granulomatous cheilitis in a farmer. Prompt diagnosis and penicillin treatment led to complete healing of the atypical lip lesion.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Microbiology

Background:

  • Baker-Rosenbach's erysipeloid is a skin infection caused by Erysipelothrix rhusiopathiae, typically affecting individuals with animal exposure.
  • The infection commonly presents as an erythematous macule on extremities, usually resolving spontaneously.

Observation:

  • A 40-year-old farmer presented with a year-long ulcerative macrocheilitis of the lower lip.
  • Biopsy revealed non-caseating epithelioid granulomas, prompting investigation for other granulomatous conditions.
  • Initial screenings for tuberculosis, sarcoidosis, Crohn's disease, and leishmaniasis were negative.

Findings:

  • Bacteriological examination identified Erysipelothrix rhusiopathiae, leading to a diagnosis of labial Baker-Rosenbach's erysipeloid.
  • The patient's ulcerative lip lesion healed completely within 15 days of parenteral penicillin G treatment.
  • This case represents the first reported instance of Erysipelothrix rhusiopathiae causing ulceration and chronic granulomatous cheilitis.

Implications:

  • This case highlights the atypical presentation of Erysipelothrix rhusiopathiae infection, emphasizing the importance of considering infectious causes in chronic granulomatous cheilitis.
  • The successful treatment with penicillin G underscores its efficacy in managing this rare form of erysipeloid.
  • Further research may be needed to understand the pathogenesis of chronic Erysipelothrix rhusiopathiae infections.

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