Can erysipelas be treated with hot compresses?

Written by Zhu Zhu
Dermatology
Updated on April 23, 2025
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After contracting erysipelas, it is generally not recommended to apply heat, as erysipelas is an inflammatory reaction caused by bacterial infection of the skin, and heat application may worsen the condition, especially if done without doctor's guidance. It could lead to a more serious condition. It is advised to visit a dermatologist promptly after getting erysipelas. Treatment may include anti-inflammatory medications. It is also suggested to boost one's immunity and consume a light diet rich in vitamins and proteins to aid in recovery. Additionally, it's important to rest frequently.

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Written by Zhu Zhu
Dermatology
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Erysipelas is caused by what?

The fundamental cause of erysipelas is mainly due to a streptococcal infection of the lymphatic vessels, causing acute non-purulent inflammation. Patients with erysipelas often may have underlying conditions such as athlete's foot, ulcers, or other infectious foci. Erysipelas is prone to develop secondary to ulcers, trauma, or some purulent infections, spreading directly from these primary diseases through the skin, mucous membranes, lymphatic channels, or hematogenous invasion.

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Dermatology
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Erysipelas anti-infection treatment methods

The most commonly used treatment method for erysipelas infection is penicillin (to be used under the guidance of a doctor). If the patient is not allergic to penicillin, it can be administered intravenously for significant effects. However, it is important to ensure that the treatment duration is sufficient, generally requiring medication for two weeks for better outcomes and to reduce recurrence, given that erysipelas is highly prone to recurrence. If the patient is allergic to penicillin, it is recommended to use alternative antibiotics such as clindamycin (to be used under the guidance of a doctor). Additionally, patients should minimize walking and elevate the affected limb during treatment.

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Dermatology
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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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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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Dermatology
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How many days does it take for penicillin to take effect on erysipelas?

Erysipelas is treated with penicillin, generally requiring about ten days to take effect, and medication should not be discontinued even after ten days. This is because this period is just when the drug starts to work and relieve the disease; it still requires about another seven days of usage to completely fight the bacteria and avoid the possibility of recurrence. Erysipelas has a high recurrence rate, so it is crucial to ensure thorough treatment.