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Erysipelas
Introduction
Erysipelas is an acute superficial dermal infection commonly caused by Streptococci.
Signs & symptoms
• A prodrome of fever, chills, and malaise
• Locally, a large erythematous, swelling, well-demarcated, and usually raised lesion
• Regional adenopathy is frequent
• Superficial blistering secondary to edema,
• Superficial hemorrhage, may be sometimes be observed
Diagnostic criteria
• A prodrome of fever, chills, and malaise
• Locally, a large erythematous, swelling, well-demarcated, and usually raised lesion
• Regional adenopathy is frequent
• Superficial blistering secondary to edema,
• Superficial hemorrhage, may be sometimes be observed
Investigation
Treatment
-
Non-Pharmacological treatment
- • Bed rest
• Elevation of the affected part
• Venous compression is recommended during the acute phase and subsequent weeks to reduce the risk of lymphedema
• Prophylaxis of deep venous thrombosis (DVT) should be considered depending on presence of other risk factors
-
Pharmacological
- Weak Potassium Permanganate soaks, 1:40000 (0.025%) solution 12 hourly for 3–4 days, with each session lasting for 15–20 minutes
Silver sulfadiazine cream 12 hourly daily
OR
Mupirocin 2% 12 hourly for 5–7 days
OR
Fusidic Acid 2% 12 hourly for 5–7 days
AND
Phenoxymethylpenicillin (PO) for 5–7 days. Adults: 250–500mg 6 hourly; Children: 25mg/kg 6 hourly
OR
Flucloxacillin (PO) for 5–7 days. Adults: 500mg 6 hourly; Children: 25–50/kg 6 hourly
Surgical Treatment
• Incision and drainage (in case of secondary abscess formation)
Prevention
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Updated on,
3 Novemba 2020 10:25:25
References
- 1.STG
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