Erysipelas




Abnormal
  • This is a red, swollen rash of the face caused by an infection of streptococcal bacteria (mainly group A beta-hemolytic type).  At risk are patients with open wounds, inflamed skin, minor cuts, skin ulcerations, stasis ulcers, and those with chronic diseases (e.g., diabetes, Nephrotic Syndrome, AIDS, malnourishment).

  • Face -- red, usually glossy appearance; swollen, hot, may or may not have blisters
  • Pain
  • Fever
  • Chills
  • Feel ill

  • Tests 
    • Laboratory:
      1. Elevated white blood cell count
      2. Increased sedimentation rate (ESR)
      3. Blood cultures may be positive
      4. ASO (Antistreptolysin antibodies) may be helpful.

  • Bed rest with the head elevated
  • Intravenous antibiotics for at least the first 48 hours, followed by oral antibiotics

  • This infection can spread quickly, and is a life-threatening emergency.  Seek immediate emergency medical treatment.