Sweet syndrome as a cutaneous manifestation in a patient with Erysipelothrix rhusiopathiae bacteremia: A case report
Salin Kiratikanon,
Harit Thongwitokomarn,
Romanee Chaiwarith,
Parichat Salee,
Pongsak Mahanupab,
Sirinda Jamjanya,
Panjit Chieosilapatham,
Nayanunt Prinyaroj,
Napatra Tovanabutra,
Siri Chiewchanvit,
Mati Chuamanochan
Affiliations
Salin Kiratikanon
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Thailand
Harit Thongwitokomarn
Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Thailand
Romanee Chaiwarith
Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Thailand
Parichat Salee
Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Thailand
Pongsak Mahanupab
Department of Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
Sirinda Jamjanya
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Thailand
Panjit Chieosilapatham
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Thailand; Division of Immunology, Department of Microbiology, Faculty of Medicine, Chiang Mai University, Thailand
Nayanunt Prinyaroj
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Thailand
Napatra Tovanabutra
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Thailand
Siri Chiewchanvit
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Thailand
Mati Chuamanochan
Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Thailand; Corresponding author at: Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, 110 Intrawarorot Road, Tambon Su Thep, Mueang Chiang Mai District, Chiang Mai 50200, Thailand.
Erysipelothrix rhusiopathiae is a gram-positive bacillus causing three clinical syndromes in humans, including localized cutaneous infection, diffuse cutaneous form, and systemic infection. Various skin lesions in systemic form have been reported; however, no comprehensive study has been conducted. Here we report a case of a 60-year-old woman who suffered from E. rhusiopathiae bacteremia with distinct generalized annular purplish plaques. Negative microbiological studies of the lesional skin sample combined with the histopathological study showing diffuse neutrophilic infiltration confirm the diagnosis of Sweet syndrome. This study documents Sweet syndrome as one of the cutaneous manifestations in systemic E. rhusiopathiae infection.
