What does it mean when erysipelas causes the skin to break and discharge fluid?

Written by Huang Ling Juan
Dermatology
Updated on November 25, 2024
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Erysipelas with ruptured skin and oozing fluid primarily occurs due to a lack of timely treatment after the onset of erysipelas. The surrounding skin becomes damaged and starts to discharge fluid, but this "flow" is not actual water; it is various liquids. This situation results from skin ruptures where inflammatory substances and pus slowly seep out, creating a flow of fluid. When erysipelas occurs, it is crucial to treat it proactively under the guidance of a doctor using anti-inflammatory medications. Locally, mupirocin ointment or fusidic acid cream can be applied. Oral medications can include erythromycin dispersible tablets and cephalosporin antibiotics, following the doctor's advice. (Medicate under the guidance of a doctor)

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Written by Zhu Zhu
Dermatology
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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
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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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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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erysipelas skin disease symptoms

Erysipelas is caused by hemolytic streptococcus. It commonly occurs on the dorsum of the foot, the lower leg, and the face, and is usually unilateral. The onset of the disease is generally acute, with typical skin symptoms mainly presenting as edematous erythema, with clear boundaries, tense and shiny surfaces. The skin lesions can rapidly expand outward, accompanied by various degrees of systemic toxic symptoms or lymph node enlargement. The condition often peaks within four to five days, and after subsiding, the affected skin areas may have mild pigmentation and desquamation.

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Written by Zhu Zhu
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.