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Report of a Case with Cutaneous Bullae, in Which Cure Was Achieved with Penicillin

MAJOR JOSEPH C. EHRLICH

Arch Intern Med. 1946;78(5):565-577.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE numerous cases, which have been reported, of infection of human beings by Erysipelothrix rhusiopathiae, the causative agent of swine erysipelas, fall into three rather well defined clinical categories (see Klauder¹ for the literature). These are (1) a mild, localized cutaneous form (erysipeloid of Rosenbach²), (2) a severe, generalized cutaneous form and (3) a septicemic form, with or without cutaneous involvement, sometimes complicated by specific endocarditis (Russell and Lamb³). The less frequent clinical and anatomic manifestations which have been recorded are arthritis (Düttmann,⁴ Brind⁵ and Wüthrich⁶), meningitis (Dumont and Contoni⁷), lymphangitis and lymphadenopathy (Schölzke⁸), optic neuritis (Peters⁹), intracranial abscess (Torkildsen¹⁰) and osseous necrosis (Klauder, Kramer and Nicholas¹¹).

Characteristically, the cutaneous lesions assume the form of superficial, more or less circumscribed, slightly elevated and moderately edematous areas of erythema (Callomon¹²). Vesication of the eruption has been but rarely observed and then chiefly in the form of hemorrhagic blebs at the site of inoculation . . . [Full Text PDF of this Article]

Author Affiliations
MEDICAL CORPS, ARMY OF THE UNITED STATES

Footnotes
Director of Laboratories Lebanon Hospital, New York, on leave of absence. From the Army Institute of Pathology, Army Medical Museum, Washington, D. C.

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