Daily Bolus of LR: Erysipelas

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September 13, 2011 by dailybolusoflr


·         Is a type of skin infection that affects the superficial skin and lymphatic drainage

·         Is usually caused by group A Streptococcus bacteria, but can be caused by other strep species

·         It can be seen in both children and adults

·         In the past, this condition was noted most commonly on the face.  Currently, only 20% of cases are noted on the face with the legs being the most common location.

·         Often an easily treated infection but can become systemic in immune-compromised or extremes of age

Risk factors

·   Cuts or ulcers or other chronic skin conditions

·   Poor venous circulation

Clinical Presentation



·   Fever often precedes the rash by 1-2 days

·   Blisters are a common finding and desquamation may be seen with leakage of fluid

·   Skin is VERY red, painful, swollen, and warm

·   A raised, well demarcated border of the progressing edge of the skin affected is often seen


·         Oral: Penicillins, cephalexin, erythromycin in allergic patients

·         IV: Cephalosporin or clindamycin as first line


Ref: Harwood –Nuss, 5th edition


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