Empyema in spinal canal in thoracic region, abscesses in paravertebral space, spondylitis: in clinical course of zoonosis Erysipelothrix rhusiopathiae
Identifieur interne : 000695 ( Istex/Corpus ); précédent : 000694; suivant : 000696Empyema in spinal canal in thoracic region, abscesses in paravertebral space, spondylitis: in clinical course of zoonosis Erysipelothrix rhusiopathiae
Auteurs : Jarosław Andrychowski ; Piotr Jasielski ; Tomasz Netczuk ; Zbigniew CzernickiSource :
- European Spine Journal [ 0940-6719 ] ; 2012-06-01.
English descriptors
Abstract
Abstract: Objectives: Erysipelas is an animal disease caused by Gram-positive 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 the most 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 continued for 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. Conclusions: Various complications of the disease, such as endocarditis and heart valves disturbances, are well known and are the most severe complications of the generalised infection. Proper targeted and long-term antibiotic therapy is crucial.
Url:
DOI: 10.1007/s00586-012-2289-9
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ISTEX:F130F920D94A911563C076D4592BA10012DD353BLe document en format XML
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last="Jasielski">Piotr Jasielski</name><affiliation><mods:affiliation>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</mods:affiliation></affiliation></author><author><name sortKey="Netczuk, Tomasz" sort="Netczuk, Tomasz" uniqKey="Netczuk T" first="Tomasz" last="Netczuk">Tomasz Netczuk</name><affiliation><mods:affiliation>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</mods:affiliation></affiliation><affiliation><mods:affiliation>Medical University of Warsaw, Bielanski Hospital, Cegłowska Str 80, 01-809, Warsaw, Poland</mods:affiliation></affiliation></author><author><name sortKey="Czernicki, Zbigniew" sort="Czernicki, Zbigniew" uniqKey="Czernicki Z" first="Zbigniew" last="Czernicki">Zbigniew Czernicki</name><affiliation><mods:affiliation>Department of Neurosurgery, 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Warsaw, Poland</mods:affiliation></affiliation></author><author><name sortKey="Netczuk, Tomasz" sort="Netczuk, Tomasz" uniqKey="Netczuk T" first="Tomasz" last="Netczuk">Tomasz Netczuk</name><affiliation><mods:affiliation>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</mods:affiliation></affiliation><affiliation><mods:affiliation>Medical University of Warsaw, Bielanski Hospital, Cegłowska Str 80, 01-809, Warsaw, Poland</mods:affiliation></affiliation></author><author><name sortKey="Czernicki, Zbigniew" sort="Czernicki, Zbigniew" uniqKey="Czernicki Z" first="Zbigniew" last="Czernicki">Zbigniew Czernicki</name><affiliation><mods:affiliation>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</mods:affiliation></affiliation><affiliation><mods:affiliation>Medical University of Warsaw, Bielanski Hospital, Cegłowska Str 80, 01-809, Warsaw, Poland</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">European Spine Journal</title><title level="j" type="abbrev">Eur Spine J</title><idno type="ISSN">0940-6719</idno><idno type="eISSN">1432-0932</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>Berlin/Heidelberg</pubPlace><date type="published" when="2012-06-01">2012-06-01</date><biblScope unit="volume">21</biblScope><biblScope unit="supplement">4</biblScope><biblScope unit="page" from="557">557</biblScope><biblScope unit="page" to="563">563</biblScope></imprint><idno type="ISSN">0940-6719</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0940-6719</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abscesses in paravertebral space</term><term>Erysipelothrix rhusiopathiae</term><term>Spondylitis</term><term>Zoonosis</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Objectives: Erysipelas is an animal disease caused by Gram-positive 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 the most 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 continued for 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. Conclusions: Various complications of the disease, such as endocarditis and heart valves disturbances, are well known and are the most severe complications of the generalised infection. Proper targeted and long-term antibiotic therapy is crucial.</div></front></TEI><istex><corpusName>springer-journals</corpusName><author><json:item><name>Jarosław Andrychowski</name><affiliations><json:string>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</json:string><json:string>Medical University of Warsaw, Bielanski Hospital, Cegłowska Str 80, 01-809, Warsaw, Poland</json:string><json:string>E-mail: j.andrychowski@wp.pl</json:string></affiliations></json:item><json:item><name>Piotr Jasielski</name><affiliations><json:string>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</json:string></affiliations></json:item><json:item><name>Tomasz Netczuk</name><affiliations><json:string>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</json:string><json:string>Medical University of Warsaw, Bielanski Hospital, Cegłowska Str 80, 01-809, Warsaw, Poland</json:string></affiliations></json:item><json:item><name>Zbigniew Czernicki</name><affiliations><json:string>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</json:string><json:string>Medical University of Warsaw, Bielanski Hospital, Cegłowska Str 80, 01-809, Warsaw, Poland</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Zoonosis</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Erysipelothrix rhusiopathiae</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Abscesses in paravertebral space</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Spondylitis</value></json:item></subject><articleId><json:string>2289</json:string><json:string>s00586-012-2289-9</json:string></articleId><arkIstex>ark:/67375/VQC-8LRJCQRT-3</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>Report</json:string></originalGenre><abstract>Abstract: Objectives: Erysipelas is an animal disease caused by Gram-positive 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 the most 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 continued for 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. Conclusions: Various complications of the disease, such as endocarditis and heart valves disturbances, are well known and are the most severe complications of the generalised infection. Proper targeted and long-term antibiotic therapy is crucial.</abstract><qualityIndicators><score>9.206</score><pdfWordCount>4206</pdfWordCount><pdfCharCount>27728</pdfCharCount><pdfVersion>1.4</pdfVersion><pdfPageCount>7</pdfPageCount><pdfPageSize>595.276 x 790.866 pts</pdfPageSize><refBibsNative>false</refBibsNative><abstractWordCount>261</abstractWordCount><abstractCharCount>1852</abstractCharCount><keywordCount>4</keywordCount></qualityIndicators><title>Empyema in spinal canal in thoracic region, abscesses in paravertebral space, spondylitis: in clinical course of zoonosis Erysipelothrix rhusiopathiae</title><genre><json:string>research-article</json:string></genre><host><title>European Spine 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type="first">Jarosław</forename><surname>Andrychowski</surname></persName><email>j.andrychowski@wp.pl</email><affiliation>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</affiliation><affiliation>Medical University of Warsaw, Bielanski Hospital, Cegłowska Str 80, 01-809, Warsaw, Poland</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Piotr</forename><surname>Jasielski</surname></persName><affiliation>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Tomasz</forename><surname>Netczuk</surname></persName><affiliation>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</affiliation><affiliation>Medical University of Warsaw, Bielanski Hospital, Cegłowska Str 80, 01-809, Warsaw, Poland</affiliation></author><author xml:id="author-0003"><persName><forename type="first">Zbigniew</forename><surname>Czernicki</surname></persName><affiliation>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</affiliation><affiliation>Medical University of Warsaw, Bielanski Hospital, Cegłowska Str 80, 01-809, Warsaw, Poland</affiliation></author><idno type="istex">F130F920D94A911563C076D4592BA10012DD353B</idno><idno type="ark">ark:/67375/VQC-8LRJCQRT-3</idno><idno type="DOI">10.1007/s00586-012-2289-9</idno><idno type="article-id">2289</idno><idno type="article-id">s00586-012-2289-9</idno></analytic><monogr><title level="j">European Spine Journal</title><title level="j" type="abbrev">Eur Spine J</title><idno type="pISSN">0940-6719</idno><idno 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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 the most 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 continued for 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. Conclusions: Various complications of the disease, such as endocarditis and heart valves disturbances, are well known and are the most severe complications of the generalised infection. Proper targeted and long-term antibiotic therapy is crucial.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Zoonosis</term></item><item><term>Erysipelothrix rhusiopathiae</term></item><item><term>Abscesses in paravertebral space</term></item><item><term>Spondylitis</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Medicine & Public Health</head><item><term>Neurosurgery</term></item><item><term>Surgical Orthopedics</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2009-12-06">Created</change><change when="2012-06-01">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/VQC-8LRJCQRT-3/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus springer-journals not found" 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TocLevels="0"><ArticleID>2289</ArticleID><ArticleDOI>10.1007/s00586-012-2289-9</ArticleDOI><ArticleSequenceNumber>41</ArticleSequenceNumber><ArticleTitle Language="En" OutputMedium="All">Empyema in spinal canal in thoracic region, abscesses in paravertebral space, spondylitis: in clinical course of zoonosis <Emphasis Type="Italic">Erysipelothrix rhusiopathiae</Emphasis></ArticleTitle><ArticleCategory>Case Report</ArticleCategory><ArticleFirstPage>557</ArticleFirstPage><ArticleLastPage>563</ArticleLastPage><ArticleHistory><RegistrationDate><Year>2012</Year><Month>3</Month><Day>18</Day></RegistrationDate><Received><Year>2009</Year><Month>12</Month><Day>6</Day></Received><Revised><Year>2011</Year><Month>10</Month><Day>30</Day></Revised><Accepted><Year>2012</Year><Month>3</Month><Day>18</Day></Accepted><OnlineDate><Year>2012</Year><Month>4</Month><Day>17</Day></OnlineDate></ArticleHistory><ArticleCopyright><CopyrightHolderName>The Author(s)</CopyrightHolderName><CopyrightYear>2012</CopyrightYear></ArticleCopyright><ArticleGrants Type="OpenChoice"><MetadataGrant Grant="OpenAccess"></MetadataGrant><AbstractGrant Grant="OpenAccess"></AbstractGrant><BodyPDFGrant Grant="OpenAccess"></BodyPDFGrant><BodyHTMLGrant Grant="OpenAccess"></BodyHTMLGrant><BibliographyGrant Grant="OpenAccess"></BibliographyGrant><ESMGrant Grant="OpenAccess"></ESMGrant></ArticleGrants></ArticleInfo><ArticleHeader><AuthorGroup><Author AffiliationIDS="Aff1 Aff2" CorrespondingAffiliationID="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Jarosław</GivenName><FamilyName>Andrychowski</FamilyName></AuthorName><Contact><Phone>+48-22-5690490</Phone><Fax>+48-22-8350005</Fax><Email>j.andrychowski@wp.pl</Email></Contact></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Piotr</GivenName><FamilyName>Jasielski</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1 Aff2"><AuthorName DisplayOrder="Western"><GivenName>Tomasz</GivenName><FamilyName>Netczuk</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1 Aff2"><AuthorName DisplayOrder="Western"><GivenName>Zbigniew</GivenName><FamilyName>Czernicki</FamilyName></AuthorName></Author><Affiliation ID="Aff1"><OrgDivision>Department of Neurosurgery, Mossakowski Medical Research Centre</OrgDivision><OrgName>Polish Academy of Sciences, Bielanski Hospital</OrgName><OrgAddress><Street>Ceglowska Str 80</Street><Postcode>01-809</Postcode><City>Warsaw</City><Country Code="PL">Poland</Country></OrgAddress></Affiliation><Affiliation ID="Aff2"><OrgName>Medical University of Warsaw, Bielanski Hospital</OrgName><OrgAddress><Street>Cegłowska Str 80</Street><Postcode>01-809</Postcode><City>Warsaw</City><Country Code="PL">Poland</Country></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En" OutputMedium="All"><Heading>Abstract</Heading><AbstractSection ID="ASec1" OutputMedium="All"><Heading>Objectives</Heading><Para>Erysipelas is an animal disease caused by Gram-positive bacteria <Emphasis Type="Italic">Erysipelothrix rhusiopathiae</Emphasis>. Among the domestic animals, domestic pig (<Emphasis Type="Italic">Sus scrofa f. domestica</Emphasis>) 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.</Para></AbstractSection><AbstractSection ID="ASec2" OutputMedium="All"><Heading>Methods</Heading><Para>We are presenting the clinical course of infection (<Emphasis Type="Italic">E. rhusiopathiae</Emphasis>) and discuss clinical forms. <Emphasis Type="Italic">E. rhusiopathiae</Emphasis> in humans may have the following clinical course: mild form of skin infection diagnosed as local erythema (erysipeloid), disseminated form of skin infection and the most 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 continued for 8 weeks. Such course of erysipelas was not previously described in the literature.</Para></AbstractSection><AbstractSection ID="ASec3" OutputMedium="All"><Heading>Results</Heading><Para>After therapy neurological status was improved. In follow MRI control exam empyema and spondylitis was successfully eliminated.</Para></AbstractSection><AbstractSection ID="ASec4" OutputMedium="All"><Heading>Conclusions</Heading><Para>Various complications of the disease, such as endocarditis and heart valves disturbances, are well known and are the most severe complications of the generalised infection. Proper targeted and long-term antibiotic therapy is crucial.</Para></AbstractSection></Abstract><KeywordGroup Language="En" OutputMedium="All"><Heading>Keywords</Heading><Keyword>Zoonosis</Keyword><Keyword><Emphasis Type="Italic">Erysipelothrix rhusiopathiae</Emphasis></Keyword><Keyword>Abscesses in paravertebral space</Keyword><Keyword>Spondylitis</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Empyema in spinal canal in thoracic region, abscesses in paravertebral space, spondylitis: in clinical course of zoonosis Erysipelothrix rhusiopathiae</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Empyema in spinal canal in thoracic region, abscesses in paravertebral space, spondylitis: in clinical course of zoonosis Erysipelothrix rhusiopathiae </title></titleInfo><name type="personal" displayLabel="corresp"><namePart type="given">Jarosław</namePart><namePart type="family">Andrychowski</namePart><affiliation>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</affiliation><affiliation>Medical University of Warsaw, Bielanski Hospital, Cegłowska Str 80, 01-809, Warsaw, Poland</affiliation><affiliation>E-mail: j.andrychowski@wp.pl</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Piotr</namePart><namePart type="family">Jasielski</namePart><affiliation>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Tomasz</namePart><namePart type="family">Netczuk</namePart><affiliation>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</affiliation><affiliation>Medical University of Warsaw, Bielanski Hospital, Cegłowska Str 80, 01-809, Warsaw, Poland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Zbigniew</namePart><namePart type="family">Czernicki</namePart><affiliation>Department of Neurosurgery, Mossakowski Medical Research Centre, Polish Academy of Sciences, Bielanski Hospital, Ceglowska Str 80, 01-809, Warsaw, Poland</affiliation><affiliation>Medical University of Warsaw, Bielanski Hospital, Cegłowska Str 80, 01-809, Warsaw, Poland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Report" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Springer-Verlag</publisher><place><placeTerm type="text">Berlin/Heidelberg</placeTerm></place><dateCreated encoding="w3cdtf">2009-12-06</dateCreated><dateIssued encoding="w3cdtf">2012-06-01</dateIssued><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Abstract: Objectives: Erysipelas is an animal disease caused by Gram-positive 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 the most 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 continued for 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. Conclusions: Various complications of the disease, such as endocarditis and heart valves disturbances, are well known and are the most severe complications of the generalised infection. Proper targeted and long-term antibiotic therapy is crucial.</abstract><note>Case Report</note><subject lang="en"><genre>Keywords</genre><topic>Zoonosis</topic><topic>Erysipelothrix rhusiopathiae</topic><topic>Abscesses in paravertebral space</topic><topic>Spondylitis</topic></subject><relatedItem type="host"><titleInfo><title>European Spine Journal</title></titleInfo><titleInfo type="abbreviated"><title>Eur Spine J</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>Springer</publisher><dateIssued encoding="w3cdtf">2012-06-07</dateIssued><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><subject><genre>Medicine & Public Health</genre><topic>Neurosurgery</topic><topic>Surgical Orthopedics</topic></subject><identifier type="ISSN">0940-6719</identifier><identifier type="eISSN">1432-0932</identifier><identifier type="JournalID">586</identifier><identifier type="IssueArticleCount">44</identifier><identifier type="VolumeIssueCount">12</identifier><part><date>2012</date><detail type="issue"><title>Supplement for Case Reports online only 2012</title></detail><detail type="volume"><number>21</number><caption>vol.</caption></detail><detail type="supplement"><number>4</number><caption>suppl. </caption></detail><extent unit="pages"><start>557</start><end>563</end></extent></part><recordInfo><recordOrigin>Springer-Verlag, 2012</recordOrigin></recordInfo></relatedItem><identifier type="istex">F130F920D94A911563C076D4592BA10012DD353B</identifier><identifier type="ark">ark:/67375/VQC-8LRJCQRT-3</identifier><identifier type="DOI">10.1007/s00586-012-2289-9</identifier><identifier type="ArticleID">2289</identifier><identifier type="ArticleID">s00586-012-2289-9</identifier><accessCondition type="use and reproduction" contentType="copyright">The Author(s), 2012</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-3XSW68JL-F">springer</recordContentSource><recordOrigin>The Author(s), 2012</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/VQC-8LRJCQRT-3/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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