Which is better for erysipelas, cephalosporin or penicillin?

Written by Zhu Zhu
Dermatology
Updated on December 22, 2024
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Erysipelas is a relatively common inflammatory skin disease. After contracting erysipelas, penicillin is primarily used for treatment, with cephalosporins as a secondary option. Especially in severe cases, it is crucial to promptly visit the dermatology department of a hospital. Patients may receive intravenous anti-inflammatory medications. Dietarily, it is important to avoid overly stimulating and spicy foods, as well as foods that may cause inflammation. Rest is also important.

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Written by Zhu Zhu
Dermatology
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How many days does it take for penicillin to take effect on erysipelas?

Erysipelas is treated with penicillin, generally requiring about ten days to take effect, and medication should not be discontinued even after ten days. This is because this period is just when the drug starts to work and relieve the disease; it still requires about another seven days of usage to completely fight the bacteria and avoid the possibility of recurrence. Erysipelas has a high recurrence rate, so it is crucial to ensure thorough treatment.

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Written by Zhu Zhu
Dermatology
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Can I eat wood ear mushrooms with erysipelas?

Patients with erysipelas can eat wood ear mushrooms, and it is recommended to consume more of this food because wood ear mushrooms belong to the vegetable category and contain a large amount of vitamins, fiber, and calcium, which are very helpful for the recovery from erysipelas and can also play a certain detoxifying effect. In addition to wood ear mushrooms, vegetables and fruits such as cabbage, seaweed, apples, oranges, and grapes are also beneficial for the recovery from erysipelas and can be consumed in larger amounts. Paying attention to one's lifestyle habits and bathing frequently can help with the recovery from erysipelas.

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Dermatology
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Can erysipelas patients be active and move around?

Whether someone with erysipelas can engage in physical activity depends on the severity and location of the erysipelas. If the erysipelas is on the leg and the condition is severe, it is advisable to rest in bed and avoid standing or moving around. However, if the erysipelas is mild and appears on the face, light activity is permissible. Once diagnosed with erysipelas, it is important to rest, improve nutrition, and actively treat the underlying condition to facilitate recovery. The precautions include the following: rest in bed to avoid fatigue and exposure to cold; and while treating the affected area, consider supportive physical therapies such as ultraviolet light or infrared radiation to accelerate the healing of the skin.

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Written by Zhu Zhu
Dermatology
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What should erysipelas patients pay attention to in their diet?

Patients with erysipelas need to pay special attention to their diet during illness, as their body's resistance and immunity are relatively low. It is advised that they eat more green vegetables and fruits, such as leafy greens, carrots, apples, pears, and grapes, and avoid spicy and irritating foods such as barbecue, spicy hot pot, onions, ginger, and garlic.

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Written by Zhu Zhu
Dermatology
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How long will it take for erysipelas to heal?

The typical treatment duration for erysipelas is 10 to 14 days. If it is the first outbreak of erysipelas and the treatment is not timely or thorough, or if the treatment duration is insufficient, it is very susceptible to recurrent erysipelas. Treatment for recurrent erysipelas is more challenging, and it may take about three weeks for some people to recover. Especially in elderly patients with swelling in the lower limbs, it is difficult to completely reduce the swelling, which can lead to long-term conditions like elephantiasis. No matter how long any medication is administered, it cannot be completely eliminated, so it is crucial to start treatment gradually and by courses at the onset of the disease. Penicillin is the first choice of medication. For patients allergic to penicillin, cephalosporins or macrolide drugs are the alternatives.