Long-term Management
Patients having recurrent erysipelas must be guided regarding local antisepsis as well as
general wound care predisposing of lower extremity skin lesions such as asteatotic dermatitis,
stasis ulcers, tow web intertrigo, and tinea pedis must aggressively be treated for Continue reading “Long-term Management”
Pharmacologic treatment
Streptococci lead to maximum erysipelas cases hence penicillin remains first-line therapy.
Administration of penicillin is done intramuscularly or orally as it is sufficient for maximum
classic erysipelas cases and it must be given for ten to twenty days.
First-generation marcolide or Continue reading “Pharmacologic treatment”
Activity
Patients having acute infections that involve extremities must be encouraged for limiting their
activities as well as keeping affected limbs elevated for decreasing Continue reading “Activity”
Inpatient care
Hospitalization for intravenous antibiotics and close monitoring is suggested in severe
situations as well as for elderly patients, infants, and patients who’ll be immune-
compromised. This is also suggested for patients who Continue reading “Inpatient care”
Surgical care
Debridement is vital in severe infection cases with gangrene or necrosis.
Treatment Considered approach
As already stated, erysipelas complications usually aren’t life-threatening and maximum
cases get resolved post antibiotic therapies without sequelae. Prompt treatment however of
this condition is vital due to potentially rapid Continue reading “Treatment Considered approach”
Approach considerations
In case of classic erysipelas, there is no requirement of laboratory workup for treatment or
diagnosis. However, elevations and leukocytosis in ESR (erythrocyte sedimentation rate) and
CRP (C-reactive protein) are common. Routine tissues as well as blood cultures aren’t cost-
effective as they are having extremely poor yield and Continue reading “Approach considerations”
Differential diagnoses
Urticaria
Systemic Lupus Erythematosus (SLE)
Stasis Dermatitis
Necrotizing Fasciitis
Dermatitis, Contact
Cellulitis
Angioedema
DDX Diagnostic considerations
Erysipelas differential diagnosis includes the following:
Tuberculoid leprosy
Scarlet fever
Polychondritis
Herpes zoster
Granuloma faciale
Erythema nodosum
Erythema induratum
Erysipeloid
Erysipelas carcinomatosum
Dermatophytid
Angioneurotic edema
Erysipelas could get differentiated from the cellulitis by its advancing Continue reading “DDX Diagnostic considerations”
Physical examination
Erysipelas can be found in much lower extremities in nearly 70 to 80 percent of the patients;
face has been affected in five to twenty percent of patients.
Patients would look toxic or healthy based on extent of infection. Starting of Continue reading “Physical examination”