Occupational injury in a fishmonger with a macular rash, hepatosplenomegaly and pancytopenia
| Autor: | Kristian M. Bowles, J I O Craig, O Sule, L.J. Cooke |
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| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Food Handling Pancytopenia Occupational injury Hepatosplenomegaly Case Report Erysipelothrix rhusiopathiae Pathology and Forensic Medicine Occupational medicine Lethargy Erysipelothrix Infections medicine Maculopapular rash Humans biology business.industry General Medicine Skin Diseases Bacterial Middle Aged medicine.disease biology.organism_classification Dermatology Surgery Occupational Diseases Seafood Splenomegaly Macular Rash medicine.symptom business Multiple Myeloma Hepatomegaly |
| Zdroj: | Journal of clinical pathology. 59(9) |
| ISSN: | 0021-9746 |
| Popis: | A 47-year-old fishmonger presented with a history of weight loss and lethargy. On investigation he was found to have myeloma. He presented again before follow up, with a 3-day history of fever and a maculopapular rash. He was admitted to the haematology ward and treated with broad-spectrum antibiotics. Blood cultures were found to be positive for Erysipelothrix rhusiopathiae. Penicillin treatment was given, and he made a good recovery. The importance of occupational illness in an already immunocompromised patient and of taking a proper social and occupational history from patients on admission is illustrated through this case. |
| Databáze: | OpenAIRE |
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