Is erysipelas contagious?

Written by Zhu Zhu
Dermatology
Updated on September 20, 2024
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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.

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Written by Zhu Zhu
Dermatology
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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.

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Which is better for erysipelas, cephalosporin or penicillin?

Erysipelas is a relatively common inflammatory skin disease. After contracting erysipelas, penicillin is primarily used for treatment, with cephalosporins as a secondary option. Especially in severe cases, it is crucial to promptly visit the dermatology department of a hospital. Patients may receive intravenous anti-inflammatory medications. Dietarily, it is important to avoid overly stimulating and spicy foods, as well as foods that may cause inflammation. Rest is also important.

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How long will it take for erysipelas to heal?

The typical treatment duration for erysipelas is 10 to 14 days. If it is the first outbreak of erysipelas and the treatment is not timely or thorough, or if the treatment duration is insufficient, it is very susceptible to recurrent erysipelas. Treatment for recurrent erysipelas is more challenging, and it may take about three weeks for some people to recover. Especially in elderly patients with swelling in the lower limbs, it is difficult to completely reduce the swelling, which can lead to long-term conditions like elephantiasis. No matter how long any medication is administered, it cannot be completely eliminated, so it is crucial to start treatment gradually and by courses at the onset of the disease. Penicillin is the first choice of medication. For patients allergic to penicillin, cephalosporins or macrolide drugs are the alternatives.

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Can you eat duck meat with erysipelas?

Patients with erysipelas can eat duck meat. After contracting erysipelas, it is very important to follow dietary restrictions, but duck meat, being rich in protein, is permissible and is not considered a food that exacerbates the condition. However, it is crucial to avoid smoking, alcohol, and other inflammatory foods during this period. Such foods include beef, lamb, seafood, and spicy or stimulating foods like onions, ginger, garlic, spicy hot pot, and barbecue.

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Written by Zhu Zhu
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How to eliminate erysipelas swelling in the leg?

After suffering from erysipelas, if symptoms of leg swelling occur, it is recommended to first elevate the affected limb, which can help reduce the swelling. Furthermore, it is advisable to use some anti-swelling topical medications for wet compresses, which can help quickly alleviate the swelling in the leg. Finally, it is recommended to avoid intense exercise usually and to rest during the occurrence of leg swelling symptoms. Appropriate massage can be performed, and it is crucial to treat the primary disease, which is erysipelas, and control the inflammation.