Erysipelas
- Special type of cellulitis caused by strep pyogenes
- Epidemiology
- Children
- Poor circulation
- Stasis
- Diabetics
- Chronic oedema
- Spreads by superficial lymph vessels
- Clinical features
- On lower limbs – 80%
- On face – rarely
- Large erythema, irregular borders
- Tender
- Rapidly advancing borders
- Oedema
- Warm
- Fever
- Site of entry needs to be located
- Ulcers
- Interdigital lesion
- Fungal infections
- Treatment
- Antibiotics
- Primary: Amoxicillin and clavulanic acid (in Norway: penicillin G)
- Secondary: Ciprofloxacin and clindamycin
- Tertiary: Ceftriaxone and metronidazole
- Bed rest
- Icing
- Compression
- Elevation
- Antibiotics
- Complications
- Necrotizing fasciitis
- Sepsis
- Residual erysipelas