How many days does it take for penicillin to take effect on erysipelas?

Written by Zhu Zhu
Dermatology
Updated on February 06, 2025
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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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What medicine is good for erysipelas when taken orally?

Erysipelas is a bacterial skin disease involving the deeper layers of the skin, caused by Group A streptococcal infection. The bacteria can enter the body through minor wounds in the skin or mucous membranes, and the disease develops when the body's immune resistance is low. Erysipelas has a rapid onset, and its typical symptoms include edematous erythema with clear boundaries, a tense and shiny surface, and rapid expansion to the surrounding areas. There may also be swollen lymph nodes and varying degrees of systemic symptoms, with the condition typically peaking within four to five days. The primary treatment for erysipelas involves anti-inflammatory medications, namely antibiotics. Penicillin is commonly used; if there is an allergy to penicillin, alternatives like erythromycin, azithromycin, roxithromycin, levofloxacin, or ciprofloxacin can be used. Early, adequate, and effective antibiotic treatment can alleviate systemic symptoms, control the spread of inflammation, and prevent recurrence.

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Written by Zhu Zhu
Dermatology
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Best treatment method for erysipelas

Erysipelas is an inflammatory skin condition caused by infection with hemolytic streptococcus. It primarily presents with edematous erythema on the skin, which is clearly demarcated, surface tightness, burning sensation, accompanied by significant pain, and swelling of the local lymph nodes. The best treatment for erysipelas is the preferential use of systemic antibiotics, with penicillin as the first choice. Patients allergic to penicillin can be treated with erythromycin or azithromycin, in combination with topical applications, such as wet compresses with Isatis tinctoria solution or Mupirocin ointment. Additionally, it is important to elevate the affected limb regularly, and abscesses forming in the area may require incision and drainage.

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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 erysipelas be incised and drained?

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 medicine is good to take when erysipelas is almost healed?

It is still necessary to continue taking anti-inflammatory medication even if erysipelas is nearly healed, as erysipelas is an inflammatory reaction caused by bacterial infection of the lymphatic vessels. If treated with anti-inflammatory medication, remember that it's important to complete the full course of treatment. If you stop taking some of the anti-inflammatory medication because the erysipelas seems nearly healed and the full course of treatment is not completed, there's a possibility that the erysipelas may recur, which would be counterproductive. Therefore, even if the erysipelas is nearly healed, it is still necessary to take anti-inflammatory medication. Additionally, apart from taking medication, it is important to eat foods rich in protein and vitamins to aid recovery.