What medicine should be taken for erysipelas?

Written by Zhu Zhu

Dermatology

Updated on September 26, 2024

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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.)

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Written by Zhu Zhu

Dermatology

48sec

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The difference between erysipelas and lymphangitis

Erysipelas and lymphangitis are two different diseases with significant differences. First, erysipelas is a skin disease caused by an infection of streptococcus bacteria. On the other hand, lymphangitis is usually caused by various parasites or microbes, including streptococcus or staphylococcus, and not just streptococcus as in the case of erysipelas. Secondly, the symptoms of erysipelas typically include general body symptoms, accompanied by skin redness and pain. In the case of lymphangitis, there is usually a red streak near a wound, and the color disappears when pressed. Therefore, both the causes and symptoms of erysipelas and lymphangitis are different.

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Written by Zhu Zhu

Dermatology

56sec

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Best treatment method for erysipelas

Erysipelas is an inflammatory skin condition caused by infection with hemolytic streptococcus. It primarily presents with edematous erythema on the skin, which is clearly demarcated, surface tightness, burning sensation, accompanied by significant pain, and swelling of the local lymph nodes. The best treatment for erysipelas is the preferential use of systemic antibiotics, with penicillin as the first choice. Patients allergic to penicillin can be treated with erythromycin or azithromycin, in combination with topical applications, such as wet compresses with Isatis tinctoria solution or Mupirocin ointment. Additionally, it is important to elevate the affected limb regularly, and abscesses forming in the area may require incision and drainage.

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Written by Zhu Zhu

Dermatology

59sec

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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.

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Written by Zhu Zhu

Dermatology

42sec

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Can erysipelas heal on its own?

Erysipelas is a disease caused by bacterial infection, primarily by the erysipelas streptococcus. Generally, erysipelas is unlikely to heal on its own. Once infected with erysipelas, it indicates that our body's resistance is relatively low. It is recommended to eat more foods rich in vitamins and proteins during this time. You should avoid drinking alcohol, smoking, and consuming overly spicy and stimulating foods such as chili peppers, onions, ginger, and garlic. Also, try to avoid foods that might induce further issues, such as seafood, mangoes, etc.

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Written by Zhu Zhu

Dermatology

44sec

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What department should I go to for erysipelas?

Patients with erysipelas can consult the surgical department, because the predisposing factors before the onset of erysipelas may include external otitis, surgical wounds, skin infections, etc. Moreover, after the onset of erysipelas, it may cause persistent hard edema, which necessitates surgical intervention. Secondly, patients can also see the department of infectious diseases, as erysipelas is an infectious disease. Lastly, patients with erysipelas can consult the dermatology department, because erysipelas is an infectious skin disease that belongs to lymphangitis.