Erysipeloid
| Classification according to ICD-10 | |
|---|---|
| A26.0 | Skin erysipeloid |
| ICD-10 online (WHO version 2019) | |
That (the erysipelas -like) Erysipeloid or swine erysipelas , short and erysipelas , is a rarely occurring in people erythematous skin disease caused by Erysipelothrix rhusiopathiae is caused. Pig rot is an often fatal disease for pigs , which also occurs as a zoonosis in sheep, deer and other animals (especially wild animals and fish).
Pathogen
Erysipelothrix rhusiopathiae is a gram-positive , non-spore-forming, facultatively anaerobic , rod-shaped bacterium that can be found in the normal flora of many animals and is distributed worldwide.
Epidemiology
An erysipeloid is rare in humans. People who are frequently exposed to animals are particularly at risk, for example butchers, farmers, fishermen, veterinarians. In the case of occupationally related infection, an illness can be reported as an occupational disease . You get infected through small skin lesions.
Symptoms
human
The incubation period is up to seven days. Thereafter, first local and later possibly spreading, painful reddening of the skin occurs at the point of entry of the pathogen, typically on the hands. Fever and general symptoms are rare. The inflammation is pus-free and usually self-limiting after 14 to 21 days.
pig
The most common and at the same time most dangerous form results in an acute, rapid spread of the pathogen throughout the body with a high fever. The animals usually bury themselves in the litter and lose their appetite. On the less hairy parts of the body, red spots often form, but not always, which have given the disease the name Rotlauf . Without veterinary treatment, the animal usually dies after a few days.
Since immunity does not occur in animals or humans, relapses occur frequently - especially with continued exposure.
Complications
Septic processes or endocarditis are rare complications .
Evidence and Therapy
The pathogen can be detected microscopically in the lesions and grown in culture.
Causal antibiotic therapy for infections with the vancomycin- resistant pathogen - suitable include β-lactams such as penicillin or ampicillin (which can also be combined with an aminoglycoside ) and, alternatively, doxycycline
- is often not necessary, symptomatic treatment can be carried out (e.g. cooling).
Web links
Individual evidence
- ^ Marianne Abele-Horn: Antimicrobial Therapy. Decision support for the treatment and prophylaxis of infectious diseases. With the collaboration of Werner Heinz, Hartwig Klinker, Johann Schurz and August Stich, 2nd, revised and expanded edition. Peter Wiehl, Marburg 2009, ISBN 978-3-927219-14-4 , p. 159.
- ^ F. Lorz: Rotlauf der pigs. In: Land and Garden. Practical guide for agriculture and horticulture. No. 13, April 1, 1961, pp. 35-37.
- ^ Marianne Abele-Horn: Antimicrobial Therapy. Decision support for the treatment and prophylaxis of infectious diseases. 2009, pp. 159 and 263.
