Erysipelas


What is erysipelas and is it contagious?
Erysipelas is an inflammation of the skin and lymphatic vessels caused by bacterial infection, commonly occurring in the summer and autumn seasons. It frequently occurs on the face and lower legs, with rhinitis and athlete's foot being the most common triggers. This is due to bacteria infecting the lymphatic vessels through minor wounds. Initially, the lesions are clearly defined, edematous, bright red patches with distinct edges, shiny surface, and increased skin temperature in the affected area. Occasionally, blisters or large blisters may appear, accompanied by spontaneous pain or tenderness and local lymph node enlargement. Erysipelas is not contagious and is quite sensitive to antibiotic treatment. The preferred treatment is penicillin for a duration of two weeks. Since erysipelas is prone to recurrence, it is crucial that the treatment course is sufficient.


What causes erysipelas?
Erysipelas is an acute inflammation of the skin and reticular lymphatic vessels. The onset of erysipelas is due to hemolytic streptococci invading the skin and mucosal reticular lymphatic vessels through small wounds in the skin mucosa. Erysipelas commonly occurs on the lower limbs and face, progressing rather quickly, with seldom tissue necrosis, and a tendency for recurrent episodes. The local symptoms include patchy erythema, bright red color, lighter in the center, with clear and slightly raised edges.


What medicine should be taken for erysipelas?
Erysipelas belongs to capillary lymphangitis, mainly caused by infection with hemolytic streptococcus. It mainly presents as pain in the lower leg and the appearance of red streaks on the lower leg, which can be accompanied by local swelling. If left untreated, it can potentially lead to sepsis. Once erysipelas is diagnosed, if medication is recommended, anti-inflammatory drugs such as penicillin can be taken. It is best to treat with intravenous penicillin for more than 7 days. After the symptoms of erysipelas have completely disappeared, it is advisable to continue using the medication for about 3 days, after which medication can be stopped. During the treatment period, it is necessary to avoid alcohol and refrain from consuming spicy and stimulating foods. (Please use medication under the guidance of a doctor, and do not self-medicate blindly.)


What foods are good to eat for erysipelas?
Erysipelas is usually caused by a bacterial infection in the lymphatic vessels. Infant patients should maintain a light and nutritious diet, avoiding irritant foods. Details are as follows: First, one can eat light and easily digestible foods, such as celery, which have the effect of clearing heat and detoxifying. Patients can use these in moderation. Second, avoid spicy and greasy foods, strong tea, and coffee, all of which can be irritating. When the body is weak, it is advisable to avoid these. Similarly, lamb and leeks, which have a warming and tonifying effect, should also be used cautiously to prevent exacerbating the symptoms of erysipelas due to excessive internal heat. Third, consuming foods rich in proteins, vitamins, and minerals, such as fresh vegetables, lean meats, and eggs, can enhance the body's resistance and have an anti-disease effect.


Can erythromycin ointment be used for erysipelas?
The treatment of erysipelas is divided into topical medications and oral medications. When the condition is not very severe, it can be treated with some antibacterial topical medications, including erythromycin ointment. Erythromycin ointment can alleviate the pain and inflammation of redness and swelling. However, if erysipelas progresses to a more severe stage, using only erythromycin ointment is insufficient. It is necessary to use some oral anti-inflammatory medications for treatment, and the treatment course of oral anti-inflammatory medications is generally about two weeks.


Erysipelas is a disease.
Erysipelas is a type of skin inflammation infection, primarily involving the superficial lymphatic vessels. There are several triggers for erysipelas, such as trauma, surgery, etc. Generally, erysipelas tends to show symptoms such as fever, chills, nausea, etc. After contracting erysipelas, erythema often appears within a day, but the boundaries of the erythema are quite clear. Upon examination, an increase in skin temperature and skin tension can be observed. Erysipelas primarily occurs on the face or lower legs.


Is erysipelas contagious?
Erysipelas is an acute inflammatory infection of the skin and lymphatic network, mainly caused by beta-hemolytic streptococcal infection, commonly occurring in the lower limbs and face. Typically, it is not contagious by itself. In terms of treatment, patients should rest in bed, elevate the affected limb, and locally apply 50% magnesium sulfate solution for wet compresses, while using systemic antibacterial medications, such as intravenous penicillin drips. After local and systemic symptoms disappear, medication should continue for three to five days to prevent recurrence.


Can erysipelas recur?
Erysipelas is a disease that can recur. Once erysipelas occurs, it should be taken seriously, especially in people with lowered immunity such as the elderly. If not treated promptly or if the condition is not taken seriously, it can lead to sepsis and endanger life. Frequent recurrences are called chronic recurrent erysipelas. Due to the repeated attacks of erysipelas, local secondary lymphedema occurs, and after elephantiasis forms, it becomes very difficult to completely cure. Therefore, patients infected with erysipelas should seek medical attention in a timely manner, follow the doctor's advice, and should not think that skin diseases are not serious and that merely applying ointment will suffice, as this can delay the condition and lead to serious complications.


erysipelas skin disease symptoms
Erysipelas is caused by hemolytic streptococcus. It commonly occurs on the dorsum of the foot, the lower leg, and the face, and is usually unilateral. The onset of the disease is generally acute, with typical skin symptoms mainly presenting as edematous erythema, with clear boundaries, tense and shiny surfaces. The skin lesions can rapidly expand outward, accompanied by various degrees of systemic toxic symptoms or lymph node enlargement. The condition often peaks within four to five days, and after subsiding, the affected skin areas may have mild pigmentation and desquamation.


What is the cause of erysipelas infection?
Erysipelas is a superficial lymphatic infection induced by Group A beta-hemolytic streptococcus infection, often entering through breaks in the skin or mucous membranes. Athlete's foot and dermatitis are often the main causes of erysipelas on the lower legs and face. Malnutrition, excessive drinking, and scratching can also trigger the disease. Clinically, erysipelas manifests as well-demarcated edematous bright red patches on the lower legs or face, with a tense and shiny surface that can even form blisters. The local skin temperature is elevated, and there is tenderness and pressure pain, often accompanied by fever, a burning pain sensation, and nearby lymph nodes may be enlarged.