Erysipelas may be occasioned by bloody passions or affections of the psyche.
Erysipelas is a trivial transmission of the rind, which typically involves the lymphatic structure. This disease is too known as saint anthony's flame. This disease is almost popular among the older, infants, and children. Most cases of erysipelas are due to streptococcus pyogenes, although non-group A streptococci can also be the causative agent. People with immune deficiency, diabetes, alcoholism, skin ulceration, fungal infections and impaired lymphatic drainage are also at increased risk. Erysipelas infections can enter the skin through minor trauma, eczema, surgical incisions and ulcers, and often originate from strep bacteria in the subject's own nasal passages. People with a leg ulcer or fungal infection on the foot are at increased risk, as these conditions weaken the normal defence mechanisms of the skin and make it easier for the bacteria to invade.
Erysipelas was previously establish mainly on the cheek. Erysipelas tends to happen in areas where the lymphatic structure is obstructed. Erysipelas is a highly contagious disease that was formerly dangerous to life. The affected area may be feeled warm or hot to the touch. If left untreated, the streptococcal bacteria may begin circulating in the bloodstream (a condition called bacteremia). A patient may then develop an overwhelming, systemic infection called sepsis, with a high risk of death. Fat tissue is most susceptible to infection, and facial areas typically around the eyes, ears, and cheeks. Repeated infection of the extremities can lead to chronic swelling. Delay of treatment, however, increases the chance for bacteremia and the potential for death from overwhelming sepsis. This is particularly true of people with weakened immune systems.
Erysipelas predominantly affects the rind of the lower limbs, but when it involves the cheek it can get a distinctive butterfly distribution on the cheeks and bridge of the nose. Patients typically develop symptoms including high fevers, shaking, chills, fatigue, headaches, vomiting, and general illness within 48 hours of the initial infection. The erythematous skin lesion enlarges rapidly and has a sharply demarcated raised edge. More severe infections can result in vesicles, bullae, and petechiae, with possible skin necrosis. Lymph nodes may be swollen, and lymphedema may occur. Occasionally, a red streak extending to the lymph node can be seen. Fat tissue is most susceptible to infection, and facial areas typically around the eyes, ears, and cheeks. Repeated infection of the extremities can lead to chronic swelling. Maintain healthy skin by avoiding dry skin and preventing cuts and scrapes. This may reduce the risk for the development of erysipelas.
Erysipelas is mainly diagnosed by the show of the rash and its characteristics. Erysipelas must be differentiated from herpes zoster, angioedema, link dermatitis, and diffuse incendiary carcinoma of the bosom. epending on the severity, treatment involves either oral or intravenous antibiotics, using penicillins, clindamycin or erythromycin. While illness symptoms resolve in a day or two, the skin may take weeks to return to normal. Streptococci cause most cases of erysipelas; thus, penicillin has remained first-line therapy. A cephalosporin or macrolide, such as erythromycin or azithromycin, may be used if the patient has an allergy to penicillin. Most patients with erysipelas respond very well to conventional antibiotic therapy. However, in atypical infections that are unresponsive to first- and second-line agents, an infectious disease consult may be useful.
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