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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.