Does erysipelas cause fever?

Written by Zhu Zhu
Dermatology
Updated on December 13, 2024
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Erysipelas is a disease that can cause symptoms such as fever because it is a bacterial infectious disease. It may cause various systemic symptoms, including fever, chills, high temperature, and other cold-like symptoms. Therefore, it is crucial to receive timely treatment after contracting erysipelas, using anti-inflammatory medications to eliminate the bacteria, enhancing one's resistance, and getting plenty of rest.

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Can erythromycin ointment be used for erysipelas?

The treatment of erysipelas is divided into topical medications and oral medications. When the condition is not very severe, it can be treated with some antibacterial topical medications, including erythromycin ointment. Erythromycin ointment can alleviate the pain and inflammation of redness and swelling. However, if erysipelas progresses to a more severe stage, using only erythromycin ointment is insufficient. It is necessary to use some oral anti-inflammatory medications for treatment, and the treatment course of oral anti-inflammatory medications is generally about two weeks.

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Erysipelas Complications and Treatment

Erysipelas is a disease that can lead to several complications. First, erysipelas may cause nephritis, and it is suggested to use medications that treat nephritis. Second, erysipelas can also lead to subcutaneous abscesses. If a subcutaneous abscess occurs, in addition to anti-inflammatory treatments, it is suggested to combine this with incision and drainage. Third, erysipelas may also cause sepsis. If sepsis occurs, symptoms may become systemic, such as fever, chills, and high fever, requiring symptomatic treatment and active management.

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Erysipelas anti-infection treatment methods

The most commonly used treatment method for erysipelas infection is penicillin (to be used under the guidance of a doctor). If the patient is not allergic to penicillin, it can be administered intravenously for significant effects. However, it is important to ensure that the treatment duration is sufficient, generally requiring medication for two weeks for better outcomes and to reduce recurrence, given that erysipelas is highly prone to recurrence. If the patient is allergic to penicillin, it is recommended to use alternative antibiotics such as clindamycin (to be used under the guidance of a doctor). Additionally, patients should minimize walking and elevate the affected limb during treatment.

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Dermatology
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How is erysipelas treated?

Erysipelas is mainly caused by a bacterial infection of the lymphatic system, resulting in lymphangitis, primarily affecting the superficial lymphatics of the skin's dermis. The common pathogen is Group A hemolytic streptococcus. For erysipelas, proactive anti-infection treatment is necessary, typically opting for penicillin-class antibiotics. For patients allergic to penicillin, other types of antibiotics such as cephalosporins or macrolide antibiotics can be considered. If there is significant local swelling and pain, magnesium sulfate can be used for local wet compresses to reduce swelling and alleviate pain. Additionally, traditional Chinese medicine treatments can be considered, such as taking oral medications that clear heat and detoxify.

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Written by Zhu Zhu
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What should I do if erysipelas recurs?

The likelihood of erysipelas relapse is very high. If erysipelas recurs, it indicates that there is another bacterial infection and the body's immune system is weak. Therefore, it is recommended to treat with anti-inflammatory drugs, which can be administered either by intravenous infusion or orally. At the same time, it is essential to enhance one's immunity. During the period of erysipelas illness, it is important to get plenty of rest, drink lots of water, and eat nutritious foods.