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Erysipelas (/ ˌ ɛ r ə ˈ s ɪ p ə l ə s /) is a relatively common bacterial infection of the superficial layer of the skin (upper dermis), extending to the superficial lymphatic vessels within the skin, characterized by a raised, well-defined, tender, bright red rash, typically on the face or legs, but which can occur anywhere on the skin.
Erysipelothrix rhusiopathiae is a Gram-positive, catalase-negative, rod-shaped, non-spore-forming, nonacid-fast, nonmotile bacterium.Distributed worldwide, E. rhusiopathiae is primarily considered an animal pathogen, causing the disease known as erysipelas that may affect a wide range of animals.
Based on symptoms [1] [3] Differential diagnosis: Deep vein thrombosis, stasis dermatitis, erysipelas, Lyme disease, necrotizing fasciitis. Sepsis must be ruled out, and if it occurs, must be rapidly treated. [1] [4] [5] Treatment: Elevation of the affected area [4] Medication: Antibiotics such as cephalexin [1] [6] Frequency: 21.2 million ...
The treatment of choice is a single dose of benzathine benzylpenicillin given by intramuscular injection, or a five-day to one-week course of either oral penicillin or intramuscular procaine benzylpenicillin. [9] Erythromycin or doxycycline may be given instead to people who are allergic to penicillin.
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Necrotizing fasciitis is ideally a clinical diagnosis based on symptoms. Due to the need for rapid surgical treatment, the time delay in performing imaging is a major concern. [15] Hence, imaging may not be needed if signs of a necrotizing infection are clear.
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Erysipelas, an acute infection, typically with a skin rash St Anthony's Fire (novel) , a 1994 Doctor Who novel by Mark Gatiss Shingles , a painful viral disease, also called herpes zoster