What is the cause of erysipelas infection?

Written by Zhu Zhu
Dermatology
Updated on September 16, 2024
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Erysipelas is a superficial lymphatic infection induced by Group A beta-hemolytic streptococcus infection, often entering through breaks in the skin or mucous membranes. Athlete's foot and dermatitis are often the main causes of erysipelas on the lower legs and face. Malnutrition, excessive drinking, and scratching can also trigger the disease. Clinically, erysipelas manifests as well-demarcated edematous bright red patches on the lower legs or face, with a tense and shiny surface that can even form blisters. The local skin temperature is elevated, and there is tenderness and pressure pain, often accompanied by fever, a burning pain sensation, and nearby lymph nodes may be enlarged.

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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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How to quickly reduce swelling from erysipelas?

Erysipelas, this skin disease especially prone to cause symptoms such as swelling of both lower limbs. To quickly reduce swelling, it is recommended to first use some anti-inflammatory drugs for wet compresses. Secondly, it is advised to elevate the affected limbs during treatment to help reduce swelling. Finally, avoid eating foods that may cause edema, and abstain from smoking and drinking alcohol during treatment.

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What is the incubation period for erysipelas?

Erysipelas has an incubation period, which is three to five days for most people, though it can be just a few hours for a few individuals. Usually, during the incubation period, which is before the onset of the disease, patients often experience some general symptoms such as fever and headaches. Therefore, if symptoms of the incubation period appear, it is important for the patient and their family to take them seriously, actively provide some treatment and management, and during the treatment period, it is necessary to rest, avoid overexertion, and prevent skin abrasions or injuries.

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How to eliminate erysipelas swelling in the leg?

After suffering from erysipelas, if symptoms of leg swelling occur, it is recommended to first elevate the affected limb, which can help reduce the swelling. Furthermore, it is advisable to use some anti-swelling topical medications for wet compresses, which can help quickly alleviate the swelling in the leg. Finally, it is recommended to avoid intense exercise usually and to rest during the occurrence of leg swelling symptoms. Appropriate massage can be performed, and it is crucial to treat the primary disease, which is erysipelas, and control the inflammation.

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Written by Zhu Zhu
Dermatology
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What causes erysipelas?

Erysipelas is an acute inflammation of the skin and reticular lymphatic vessels. The onset of erysipelas is due to hemolytic streptococci invading the skin and mucosal reticular lymphatic vessels through small wounds in the skin mucosa. Erysipelas commonly occurs on the lower limbs and face, progressing rather quickly, with seldom tissue necrosis, and a tendency for recurrent episodes. The local symptoms include patchy erythema, bright red color, lighter in the center, with clear and slightly raised edges.