You are here

Article Text

Article menu
Download PDFPDF
Case report
Occupational injury in a fishmonger with a macular rash, hepatosplenomegaly and pancytopenia
  1. L J Cooke,
  2. K M Bowles,
  3. J I O Craig,
  4. O Sule
  1. Department of Haematology, Addenbrooke’s Hospital, Cambridge, UK
  1. Correspondence to:
    L J Cooke
    Department of Transfusion Medicine, National Blood Service, Long Road, Cambridge CB2 2PT, UK; lisajc{at}doctors.org.uk

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.

https://doi.org/10.1136/jcp.2005.030221

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Competing interests: None declared.

    • Informed consent was obtained for the publication of the patient’s details in this report.