Hjetland R, Søgnen E, Våge V
Mikrobiologisk avdeling, Sentralsjukehuset i Sogn og Fjordane, Førde.
Tidsskr Nor Laegeforen. 1995 Sep 20;115(22):2780-2.
Erysipelothrix rhusiopathiae is widespread among many species of animals including fish. Erysipeloid is the most common infection caused by this bacterium in man; systemic infection, with endocarditis, is rare. Most of the affected patients risk exposure to the organism at work. Two patients with E. rhusiopathiae infections are described; one with erysipeloid after slaughtering a deer, the other with fatal endocarditis after gutting an eel. Erysipeloid may be confused with "seal finger", but this disease probably has a different microbial etiology and requires different antibiotic treatment.
猪红斑丹毒丝菌广泛存在于包括鱼类在内的多种动物中。类丹毒是该细菌在人类中引起的最常见感染;全身性感染并伴有心内膜炎的情况较为罕见。大多数受感染患者在工作中存在接触该病原体的风险。本文描述了两名感染猪红斑丹毒丝菌的患者;一名在宰杀鹿后患上类丹毒,另一名在剖杀鳗鱼后患上致命的心内膜炎。类丹毒可能会与“海豹指”相混淆,但这种疾病可能有不同的微生物病因,需要不同的抗生素治疗。