J Korean Med Sci.  2010 Aug;25(8):1234-1236. 10.3346/jkms.2010.25.8.1234.

Erysipelothrix rhusiopathiae Peritonitis in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis

Affiliations
  • 1Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea. shine@duih.org

Abstract

Erysipelothrix rhusiopathiae is known as a pathogen of occupational diseases or a zoonosis. We report a case of E. rhusiopathiae peritonitis in a 50-yr-old male undergoing continuous ambulatory peritoneal dialysis (CAPD). He was suffered from mild abdominal pain with a distinctive erysipeloid skin lesion. E. rhusiopathiae was considered to be introduced through a lacerated wound on his hand when he was exposed to contaminated materials. He was treated successfully with a first generation cephalosporin. To our knowledge, CAPD peritonitis due to E. rhusiopathiae is very rare, and this is a report of the first case in Asia.

Keyword

Erysipelothrix; Peritonitis; Peritoneal Dialysis, Continuous Ambulatory

MeSH Terms

Anti-Bacterial Agents/therapeutic use
Cefazolin/therapeutic use
*Erysipelothrix/isolation & purification
Erysipelothrix Infections/*diagnosis/drug therapy
Humans
Injections, Intraperitoneal
Male
Middle Aged
*Peritoneal Dialysis, Continuous Ambulatory
Peritonitis/*diagnosis/drug therapy

Figure

  • Fig. 1 III-demarcated erythematous, violaceous macules especially on the dorsum of right index finger.


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