PT  - JOURNAL ARTICLE
AU  - Simone Martina Meier
AU  - Jan Kottwitz
AU  - Dagmar I Keller
AU  - Sarah Albini
TI  - <em>Erysipelothrix rhusiopathiae</em> infection by geese to human transmission
AID  - 10.1136/bcr-2020-240073
DP  - 2021 May 01
TA  - BMJ Case Reports
PG  - e240073
VI  - 14
IP  - 5
4099  - http://casereports.bmj.com/content/14/5/e240073.short
4100  - http://casereports.bmj.com/content/14/5/e240073.full
SO  - BMJ Case Reports2021 May 01; 14
AB  - Erysipelothrix rhusiopathiae transmission to human is often occupation-related, but in most cases, a detailed case history is missing. This case report is based on an interdisciplinary approach and includes a thorough medical record. A 58-year-old laboratory technician working on geese necropsy cut open her glove at a rib fragment of a goose and subsequently noticed a slowly progressive, reddish skin alteration in the particular region of the hand. Bacteriological investigations on the geese revealed septicaemia due to E. rhusiopathiae and therefore substantiated the diagnosis of the patient. The infectious agent could not be cultured from the patient; however, antibiotic susceptibility testing was performed using the goose isolate. An entire follow-up until full recovery of the patient was conducted. Zoonotic infections possibly have a significant impact on certain occupations. This case report analyses a rare but important zoonotic infection to create awareness of this in physicians caring for human patients.