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Erysipelas

Contents of this page:

Illustrations

Erysipelas on the cheek
Erysipelas on the cheek
Erysipelas on the face
Erysipelas on the face

Definition    Return to top

Erysipelas is a type of skin infection (cellulitis).

Causes    Return to top

Erysipelas is usually caused by group A Streptococcus bacteria. The condition may affect both children and adults.

Risk factors include:

In the past, the face was the most common site of infection. Now it accounts for only about 20% of cases. The legs are affected in up to 80% of cases.

Symptoms    Return to top

Exams and Tests    Return to top

Erysipelas is diagnosed based on how the skin looks. A biopsy of the skin is usually not needed.

Treatment    Return to top

Antibiotics such as penicillin are used to eliminate the infection. In severe cases, antibiotics may need to be given through an IV (intravenous line).

Those who have repeated episodes of erysipelas may need long-term antibiotics.

Outlook (Prognosis)    Return to top

With treatment, the outcome is good. It may take a few weeks for the skin to return to normal. Peeling is common.

Possible Complications    Return to top

In some patients, the bacteria may travel to the blood. This results in a condition called bacteremia. The infection may spread to the heart valves, joints, and bones.

Other complications include:

When to Contact a Medical Professional    Return to top

Call your health care provider if you have a skin sore (lesion) that looks like erysipelas.

Prevention    Return to top

Keep your skin healthy by avoiding dry skin and preventing cuts and scrapes. This may reduce the risk for erysipelas.

Update Date: 10/15/2008

Updated by: Daniel Levy, MD, PhD, Infectious Diseases, Greater Baltimore Medical Center, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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