What should I do if erysipelas recurs?

Written by Zhu Zhu

Dermatology

Updated on January 17, 2025

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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.

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Written by Zhu Zhu

Dermatology

50sec

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How is erysipelas treated?

Erysipelas is a relatively common disease in our clinical practice, characterized by an infection of the reticular lymphatic vessels. The onset of the disease is sudden and develops rapidly, primarily featuring redness, pain, and swelling of the lower limbs. The treatment of erysipelas first involves elevating the affected limb; it is essential to raise the lower limbs above the level of the heart. Subsequently, local wet compresses are applied, commonly using 50% magnesium sulfate. Finally, antibiotic treatment is administered, including intravenous injections of cephalosporins or penicillin-class drugs, along with fluid replenishment and anti-inflammatory treatment.

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Written by Zhu Zhu

Dermatology

59sec

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What is the cause of erysipelas infection?

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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Written by Zhu Zhu

Dermatology

47sec

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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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Written by Zhu Zhu

Dermatology

1min 3sec

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What foods are good to eat for erysipelas?

Erysipelas is usually caused by a bacterial infection in the lymphatic vessels. Infant patients should maintain a light and nutritious diet, avoiding irritant foods. Details are as follows: First, one can eat light and easily digestible foods, such as celery, which have the effect of clearing heat and detoxifying. Patients can use these in moderation. Second, avoid spicy and greasy foods, strong tea, and coffee, all of which can be irritating. When the body is weak, it is advisable to avoid these. Similarly, lamb and leeks, which have a warming and tonifying effect, should also be used cautiously to prevent exacerbating the symptoms of erysipelas due to excessive internal heat. Third, consuming foods rich in proteins, vitamins, and minerals, such as fresh vegetables, lean meats, and eggs, can enhance the body's resistance and have an anti-disease effect.

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Written by Zhu Zhu

Dermatology

32sec

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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.