Fish-Handler's Disease (cont.)
Fish-Handler's Disease Symptoms
Symptoms for fish-handler's disease caused by Erysipelothrix rhusiopathiae and other species are as follows:
- The disease generally develops two to seven days after injury to the skin and subsequent bacterial infection.
- A sharply defined, red-purple circular area appears and surrounds the puncture; the center usually fades, and occasionally a vesicle (blister-like lesion) may appear.
- The area of injury increases in diameter by about ½ inch per day.
- Joint stiffness, lymph node swelling, and pain, burning, itching, and swelling at the infection site may accompany the infection.
- Rarely, the disease may progress to produce sepsis (infection of the bloodstream) and endocarditis (infection of the heart valves).
Symptoms for fish-handler's disease caused by Mycobacterium species are
- The disease generally develops about two to four weeks after exposure, although up to
nine months postexposure has been reported.
- Skin lesions are often multiple and linear but can be single.
- Lesions can appear as nodules,
abscesses, or ulcers, with skin color changes, and develop slowly (months).
- Joint pain, lymph node swelling, and
tendonitis may develop.
- Rarely, the disease may progress to sepsis (infection of the bloodstream).