What should I do if erysipelas recurs?

Written by Zhu Zhu
Dermatology
Updated on January 17, 2025
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The likelihood of erysipelas relapse is very high. If erysipelas recurs, it indicates that there is another bacterial infection and the body's immune system is weak. Therefore, it is recommended to treat with anti-inflammatory drugs, which can be administered either by intravenous infusion or orally. At the same time, it is essential to enhance one's immunity. During the period of erysipelas illness, it is important to get plenty of rest, drink lots of water, and eat nutritious foods.

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Written by Liu Jing
Dermatology
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The fastest method to treat erysipelas

The fastest and most effective method for the treatment of erysipelas is systemic medication. After a penicillin skin test, administer intravenous penicillin antibiotics. If the patient is allergic to penicillin, switch to clindamycin injections for intravenous infusion. The treatment course is around 10-14 days, and requires bed rest with elevation of the lower limbs. Examine whether the primary lesions are combined with tinea faciei or tinea pedis, avoid picking the nose and feet, which can cause skin trauma and other inducement factors, and enhance skin cleanliness. Apply magnesium sulfate injection solution externally to the affected area, and treat the symptoms of the primary lesions, such as applying ketoconazole cream to the lesions caused by tinea pedis. (Please follow medical advice when using medication.)

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Written by Zhu Zhu
Dermatology
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What Chinese medicine is used for erysipelas?

Erysipelas is mostly caused by bacterial infection of the lymphatic vessels. In terms of Traditional Chinese Medicine, treatment can involve the use of herbs that disperse wind, clear heat, and detoxify; herbs that clear heat, promote diuresis, and detoxify; and herbs that cool the blood, detoxify, clear the heart, and open the orifices. During the treatment of erysipelas, in addition to Chinese medicine, it is suggested to combine some Western medical treatments, which can lead to faster improvement. (Specific medications should be used under the guidance of a physician.)

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Written by Zhu Zhu
Dermatology
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Can erysipelas be treated with hot compresses?

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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What medicine is good for erysipelas when taken orally?

Erysipelas is a bacterial skin disease involving the deeper layers of the skin, caused by Group A streptococcal infection. The bacteria can enter the body through minor wounds in the skin or mucous membranes, and the disease develops when the body's immune resistance is low. Erysipelas has a rapid onset, and its typical symptoms include edematous erythema with clear boundaries, a tense and shiny surface, and rapid expansion to the surrounding areas. There may also be swollen lymph nodes and varying degrees of systemic symptoms, with the condition typically peaking within four to five days. The primary treatment for erysipelas involves anti-inflammatory medications, namely antibiotics. Penicillin is commonly used; if there is an allergy to penicillin, alternatives like erythromycin, azithromycin, roxithromycin, levofloxacin, or ciprofloxacin can be used. Early, adequate, and effective antibiotic treatment can alleviate systemic symptoms, control the spread of inflammation, and prevent recurrence.

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Written by Huang Ling Juan
Dermatology
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What does it mean when erysipelas causes the skin to break and discharge fluid?

Erysipelas with ruptured skin and oozing fluid primarily occurs due to a lack of timely treatment after the onset of erysipelas. The surrounding skin becomes damaged and starts to discharge fluid, but this "flow" is not actual water; it is various liquids. This situation results from skin ruptures where inflammatory substances and pus slowly seep out, creating a flow of fluid. When erysipelas occurs, it is crucial to treat it proactively under the guidance of a doctor using anti-inflammatory medications. Locally, mupirocin ointment or fusidic acid cream can be applied. Oral medications can include erythromycin dispersible tablets and cephalosporin antibiotics, following the doctor's advice. (Medicate under the guidance of a doctor)