Can erysipelas be incised and drained?

Written by Zhu Zhu
Dermatology
Updated on December 07, 2024
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Erysipelas is different from many infectious diseases in that it should not be incised and drained. Clinically, it is contraindicated to perform incision and drainage on erysipelas because it is an inflammatory non-suppurative infection. As it does not suppurate, incision and drainage would not be effective and might even lead to secondary infections, worsening the condition. Therefore, not only is incision and drainage not recommended for erysipelas, but it is also contraindicated. The treatment of erysipelas should focus on anti-inflammatory methods, possibly involving oral or intravenous medication. (Please take medication under the guidance of a doctor.)

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Written by Zhu Zhu
Dermatology
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What should be paid attention to in the diet for erysipelas?

Erysipelas is a skin condition that definitely requires attention to diet after being diagnosed. Firstly, it is recommended for patients suffering from erysipelas to consume more vegetables and fruits, including apples, pears, grapes, bananas, etc. Additionally, it is advised to avoid certain foods such as seafood, mangoes, beef, lamb, and other stimulative substances. Lastly, it is crucial to avoid overly spicy foods, smoking, and drinking alcohol.

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Written by Zhu Zhu
Dermatology
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What medicine should be taken for erysipelas?

Erysipelas belongs to capillary lymphangitis, mainly caused by infection with hemolytic streptococcus. It mainly presents as pain in the lower leg and the appearance of red streaks on the lower leg, which can be accompanied by local swelling. If left untreated, it can potentially lead to sepsis. Once erysipelas is diagnosed, if medication is recommended, anti-inflammatory drugs such as penicillin can be taken. It is best to treat with intravenous penicillin for more than 7 days. After the symptoms of erysipelas have completely disappeared, it is advisable to continue using the medication for about 3 days, after which medication can be stopped. During the treatment period, it is necessary to avoid alcohol and refrain from consuming spicy and stimulating foods. (Please use medication under the guidance of a doctor, and do not self-medicate blindly.)

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Written by Zhu Zhu
Dermatology
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Is erysipelas contagious?

Erysipelas is an acute inflammatory infection of the skin and lymphatic network, mainly caused by beta-hemolytic streptococcal infection, commonly occurring in the lower limbs and face. Typically, it is not contagious by itself. In terms of treatment, patients should rest in bed, elevate the affected limb, and locally apply 50% magnesium sulfate solution for wet compresses, while using systemic antibacterial medications, such as intravenous penicillin drips. After local and systemic symptoms disappear, medication should continue for three to five days to prevent recurrence.

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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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Written by Liu Jing
Dermatology
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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.)