Erysipelothrix rhusiopathiae infection by geese to human transmission

BMJ Case Rep. 2021 May 24;14(5):e240073. doi: 10.1136/bcr-2020-240073.

Abstract

Erysipelothrix rhusiopathiae transmission to human is often occupation-related, but in most cases, a detailed case history is missing. This case report is based on an interdisciplinary approach and includes a thorough medical record. A 58-year-old laboratory technician working on geese necropsy cut open her glove at a rib fragment of a goose and subsequently noticed a slowly progressive, reddish skin alteration in the particular region of the hand. Bacteriological investigations on the geese revealed septicaemia due to E. rhusiopathiae and therefore substantiated the diagnosis of the patient. The infectious agent could not be cultured from the patient; however, antibiotic susceptibility testing was performed using the goose isolate. An entire follow-up until full recovery of the patient was conducted. Zoonotic infections possibly have a significant impact on certain occupations. This case report analyses a rare but important zoonotic infection to create awareness of this in physicians caring for human patients.

Keywords: accidents; dermatological; disease and health outcomes; infectious diseases; injuries; occupational and environmental medicine.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Erysipelothrix Infections* / diagnosis
  • Erysipelothrix*
  • Female
  • Geese
  • Humans
  • Middle Aged
  • Zoonoses