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Erysipelothrix rhusiopathiae: an occupational pathogen.

A C Reboli1, W E Farrar

  • 1Infectious Diseases Division, Medical University of South Carolina, Charleston 29425.

Clinical Microbiology Reviews
|October 1, 1989
PubMed
Summary
This summary is machine-generated.

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Erysipelothrix rhusiopathiae causes swine erysipelas and can infect humans, typically resulting in skin lesions. Rare systemic infections, like endocarditis, may occur, and antibiotic resistance patterns are crucial for treatment.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Veterinary Medicine

Background:

  • Erysipelothrix rhusiopathiae, a gram-positive bacterium, is the cause of swine erysipelas.
  • The pathogen infects numerous animal species and can be transmitted to humans through animal contact.
  • Human infections commonly manifest as localized skin lesions (eryspeloid), with rare systemic involvements.

Purpose of the Study:

  • To review the clinical manifestations, diagnosis, and treatment of Erysipelothrix rhusiopathiae infections in humans.
  • To highlight the diagnostic methods and antimicrobial susceptibility patterns of this pathogen.

Main Methods:

  • Literature review of case reports and studies on Erysipelothrix rhusiopathiae.
  • Analysis of diagnostic techniques including bacterial culture and biochemical identification.

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  • Assessment of antimicrobial susceptibility data.

    • Main Results:

    • Erysipeloid is the most frequent human infection, typically self-limiting.
    • Systemic infections, such as endocarditis, are rare but serious.
    • The organism shows susceptibility to penicillins, cephalosporins, erythromycin, and clindamycin.
    • Resistance to vancomycin and other antibiotics is noted, impacting empiric therapy choices.

    Conclusions:

    • Accurate diagnosis and understanding of antibiotic susceptibility are vital for managing Erysipelothrix rhusiopathiae infections.
    • Treatment should be guided by susceptibility testing due to potential resistance to commonly used antibiotics.