False Alarm: Cutaneous Anthrax Suspicion in a Case of Bullous Erysipelas - The Clinicopathological Consideration

Randy Satria Nugraha Rusdy, Teffy Nuary, Sri Linuwih S. W. Menaldi, Rahadi Rihatmadja

2019

Abstract

Erysipelas is acute superficial infection involving the epidermal and dermal layers, which may feature bullous formation. Bullous erysipelas lesion can mimic Sweet’s syndrome, pyoderma gangrenosum and other skin and soft tissue infections (SSTIs). A 42-year-old male presenting with multiple erythematous and edematous plaques with a large bulla on his left lower leg was first diagnosed clinically with Sweet’s syndrome or pyoderma gangrenosum. Routine histopathology showed partial epidermal necrosis and massive dermal edema with neutrophils, lymphocytes and nuclear dust, which might be consistent with the aforementioned diagnoses. However, taking into account the clinical presentation, the possibility of cutaneous Anthrax was also raised, especially when the patientwas later found to work in areas wheredomesticated animals roamed. Further investigation with Gram staining did not demonstrate Gram-positive bacilli, negating the suspicion. Cefadroxil as prophylaxis which later continued with clindamycin gave marked improvement. Clinical and histological findings, and response to antibiotics favored bullous erysipelas as the final diagnosis.

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Paper Citation


in Harvard Style

Rusdy R., Nuary T., Menaldi S. and Rihatmadja R. (2019). False Alarm: Cutaneous Anthrax Suspicion in a Case of Bullous Erysipelas - The Clinicopathological Consideration.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 277-281. DOI: 10.5220/0009986602770281


in Bibtex Style

@conference{ictromi19,
author={Randy Satria Nugraha Rusdy and Teffy Nuary and Sri Linuwih S. W. Menaldi and Rahadi Rihatmadja},
title={False Alarm: Cutaneous Anthrax Suspicion in a Case of Bullous Erysipelas - The Clinicopathological Consideration},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={277-281},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009986602770281},
isbn={978-989-758-469-5},
}


in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - False Alarm: Cutaneous Anthrax Suspicion in a Case of Bullous Erysipelas - The Clinicopathological Consideration
SN - 978-989-758-469-5
AU - Rusdy R.
AU - Nuary T.
AU - Menaldi S.
AU - Rihatmadja R.
PY - 2019
SP - 277
EP - 281
DO - 10.5220/0009986602770281