Barnett J H, Estes S A, Wirman J A, Morris R E, Staneck J L
J Am Acad Dermatol. 1983 Jul;9(1):116-23. doi: 10.1016/s0190-9622(83)70116-7.
Erysipelothrix infections have been a well-known clinical entity for over a century. Only a few cases have been studied histologically, and the agent has rarely been cultured from infected patients. We present here a case of erysipeloid of Rosenbach, in which histologic study and electron microscopy document the presence of microorganisms. We also present a complete review of the clinical and pathologic features of Erysipelothrix infections and their treatment. Our observations suggest that Erysipelothrix rhusiopathiae is capable of producing L forms that may revert to a bacterial form and produce sepsis at a later time.
丹毒丝菌感染作为一种临床实体已为人所知超过一个世纪。仅有少数病例进行过组织学研究,且很少能从感染患者身上培养出病原体。我们在此报告一例罗森巴赫类丹毒病例,其中组织学研究和电子显微镜检查证实了微生物的存在。我们还对丹毒丝菌感染的临床和病理特征及其治疗进行了全面综述。我们的观察结果表明,猪红斑丹毒丝菌能够产生L型菌,这些L型菌可能会恢复为细菌形态并在之后引发败血症。