文献简介

出版社:Eur Spine J (2012) 21 (Suppl 4):S557–S563

作  者:Jarosław Andrychowski ,Piotr Jasielski

编  号:10.1007/s00586-012-2289-9

关键字:Zoonosis ,Erysipelothrix rhusiopathiae ,Abscesses in paravertebral space,Spondylitis

年  份:2012   点击量:662

文献摘要

  Objectives Erysipelas is an animal disease caused byGrampositive bacteria Erysipelothrix rhusiopathiae. Among the domestic animals, domestic pig (Sus scrofa f. domestica) suffers most frequently from the disease in human environment. This is a typical animal-borne disease observed mainly in occupational groups employed in agriculture, farming (of animals and birds), fishing and manufacturing industry.

  Methods We are presenting the clinical course of infection (E. rhusiopathiae) and discuss clinical forms. E. rhusiopathiae in humans may have the following clinical course: mild form of skin infection diagnosed as local erythema (erysipeloid), disseminated form of skin infection and themost serious form of infection of systemic course (endocarditis and sepsis). Mild skin infection and local erythema are the most common forms. Very rare case of animal-borne infection course has been presented in which after initial phase the disease was generalised to the abscesses formation in paravertebral space, spondylitis and empyema formation in spinal canal. In the presented clinical case, the patient was suffering from diabetes. It was probably an additional risk factor of the disease generalisation. Patient underwent drainage of empyema in spinal canal, after which his neurological status gradually improved.Antibiotic therapy was implemented and continuedfor 8 weeks. Such course of erysipelas was not previously described in the literature.

  Results After therapy neurological status was improved. In follow MRI control exam empyema and spondylitis was successfully eliminated.