Erysipelas

NaWingfield E. Rehmus, MD, MPH, University of British Columbia
Imepitiwa/Imerekebishwa Jun 2023 | Imebadilishwa Sept 2023

Erysipelas is a superficial form of skin infection (cellulitis) typically caused by streptococci.

(See also Overview of Bacterial Skin Infections.)

Erysipelas is most commonly caused by Streptococcus bacteria. However, it can also be caused by other bacteria such as Staphylococcus aureus, including a strain of Staphylococcus called methicillin-resistant Staphylococcus aureus (MRSA).

Dalili za Erysipelas

Erysipelas causes a shiny, painful, red, raised patch on the skin. The edges have distinct borders and do not blend into the nearby normal skin. The patch feels warm and firm to the touch. Erysipelas occurs most frequently on the legs and face.

People often have a high fever, chills, and a general feeling of illness (malaise).

In another form of erysipelas, blisters form on the skin.

Erysipelas
Ficha Maelezo
In erysipelas, the skin is red and raised and the edges have a distinct border.
Image provided by Thomas Habif, MD.

Utambuzi wa Erysipelas

  • A doctor's evaluation

Doctors base the diagnosis of erysipelas on the characteristic appearance of the patch.

Sometimes doctors send blood samples to a laboratory to identify the bacteria (called a culture) if the person is very sick.

Kipimo cha Maabara

Matibabu ya Erysipelas

  • Antibiotics

Antibiotics given by mouth, such as penicillin, can cure the infection.

If doctors suspect the person has MRSA, an antibiotic such as sulfamethoxazole/trimethoprim, clindamycin, or doxycycline is given by mouth, but, if the infection is severe, vancomycin or linezolid is given by vein.

Cold packs and medications for pain may relieve discomfort.

Fungal foot infections may be an entry site for infection and may require treatment with antifungal medications to prevent recurrence.

Compression stockings may be worn on the legs to lessen swelling caused by erysipelas.