Occupational injury in a fishmonger with a macular rash, hepatosplenomegaly and pancytopenia

L. J. Cooke*, K. M. Bowles, J. I.O. Craig, O. Sule

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)993-994
Number of pages2
JournalJournal of Clinical Pathology
Volume59
Issue number9
DOIs
Publication statusPublished - Sep 2006
Externally publishedYes

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