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The treatment of choice is a single dose of benzathine benzylpenicillin given by intramuscular injection, or a five-day to one-week course of either oral penicillin or intramuscular procaine benzylpenicillin. [9] Erythromycin or doxycycline may be given instead to people who are allergic to penicillin.
Erysipelothrix rhusiopathiae is a Gram-positive, catalase-negative, rod-shaped, non-spore-forming, nonacid-fast, nonmotile bacterium.Distributed worldwide, E. rhusiopathiae is primarily considered an animal pathogen, causing the disease known as erysipelas that may affect a wide range of animals.
Erysipelas (/ ˌ ɛ r ə ˈ s ɪ p ə l ə s /) is a relatively common bacterial infection of the superficial layer of the skin (upper dermis), extending to the superficial lymphatic vessels within the skin, characterized by a raised, well-defined, tender, bright red rash, typically on the face or legs, but which can occur anywhere on the skin.
The best-known species within the genus is Erysipelothrix rhusiopathiae, which is the cause of erysipelas of domestic pigs, poultry and other animal species. In humans, E. rhusiopathiae infections are termed erysipeloid.
The treatment of choice is penicillin, and the duration of treatment is around 10 days. [23] Antibiotic therapy (using injected penicillin) has been shown to reduce the risk of acute rheumatic fever. [24] In individuals with a penicillin allergy, erythromycin, other macrolides, and cephalosporins have been shown to be effective treatments. [25]
In the 1980s the antibiotic class of cephalosporins was introduced, further increasing bacterial resistance. During this decade infection control programs began to be established in hospitals, which systematically recorded and investigated hospital-acquired infections. Evidence-based treatment guidelines and regulation of antibiotic use surfaced.
The guidelines, updated every five years, inform public health messaging as well as food assistance programs and government food purchasing. The process is political, with each administration ...
Erysipelas, an acute infection, typically with a skin rash St Anthony's Fire (novel) , a 1994 Doctor Who novel by Mark Gatiss Shingles , a painful viral disease, also called herpes zoster