ERYSIPELAS
This is a spreading Streptococcal Cellulitis with a raised
sharply defined irregular advancing border with accompanying
lymphangitis.
- There is a cutaneous erythema.
- Organisms(Beta Haemolytic Streptoccocus) gain entry into the skin
through a minor break in skin.
- There is a palpable raising of the skin at the border of the
lesion.
- The lesion is hot and tender and painful.
Systemic manifestations are those of an invasion of the blood-
stream through lymphatics and consist of
- rigours and
- swinging temperature,
- malaise and
- headache and
- severe tachycardia.
Some patients may be delirious.
Occurs in children, the aged with compromised immune system or impaired
Lymphatic drainage
TREATMENT
The organisms are extremely sensitive to Penicillin, and Erythromycin which soon controls the systemic symptoms.
Erythema may take some time to disappear.
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