Erysipelas - Revision history

Rossdonaldson1: /* Background */

2024-12-11T16:23:01Z

Background

← Older revision		Revision as of 16:23, 11 December 2024
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	==Background==		==Background==
			{{Skin anatomy background images}}
	*Specific form of [[cellulitis]] involving the superficial levels of the dermis and subcutaneous tissues (including lymphatics)<ref name="Gunderson">Gunderson CG, Martinello RA. A systematic review of bacteremias in cellulitis and erysipelas. J Infect. 2012 Feb;64(2):148-55.</ref>		*Specific form of [[cellulitis]] involving the superficial levels of the dermis and subcutaneous tissues (including lymphatics)<ref name="Gunderson">Gunderson CG, Martinello RA. A systematic review of bacteremias in cellulitis and erysipelas. J Infect. 2012 Feb;64(2):148-55.</ref>
	*Majority of cases caused by [[streptococcus]]<ref name="Gunderson" /><ref name="GC" />		*Majority of cases caused by [[streptococcus]]<ref name="Gunderson" /><ref name="GC" />

Rossdonaldson1: /* Differential Diagnosis */

2022-08-17T22:01:56Z

Differential Diagnosis

← Older revision		Revision as of 22:01, 17 August 2022
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{~~Template:~~SSTI DDX}}		{{SSTI DDX}}
			{{Erythematous rash DDX}}

	==Evaluation==		==Evaluation==

ClaireLewis at 01:19, 14 September 2019

2019-09-14T01:19:10Z

← Older revision		Revision as of 01:19, 14 September 2019
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	==Background==		==Background==
	*Specific form of cellulitis involving the superficial levels of the dermis and subcutaneous tissues (including lymphatics)<ref name="Gunderson">Gunderson CG, Martinello RA. A systematic review of bacteremias in cellulitis and erysipelas. J Infect. 2012 Feb;64(2):148-55.</ref>		*Specific form of [[cellulitis]] involving the superficial levels of the dermis and subcutaneous tissues (including lymphatics)<ref name="Gunderson">Gunderson CG, Martinello RA. A systematic review of bacteremias in cellulitis and erysipelas. J Infect. 2012 Feb;64(2):148-55.</ref>
	*Majority of cases caused by streptococcus<ref name="Gunderson" /><ref name="GC" />		*Majority of cases caused by [[streptococcus]]<ref name="Gunderson" /><ref name="GC" />
	**However, recent data indicates ''S. aureus'' (specifically, CA-MRSA) is a rising cause.		**However, recent data indicates ''[[S. aureus]]'' (specifically, CA-MRSA) is a rising cause.
	*Usually affects lower extremities (face is also common)<ref name="Linke">Linke M, Booken N. Risk factors associated with a reduced response in the treatment of erysipelas. J Dtsch Dermatol Ges. 2015 Mar;13(3):217-25.</ref>		*Usually affects lower extremities (face is also common)<ref name="Linke">Linke M, Booken N. Risk factors associated with a reduced response in the treatment of erysipelas. J Dtsch Dermatol Ges. 2015 Mar;13(3):217-25.</ref>

	==Clinical Features==		==Clinical Features==
	*Rash		*[[Rash]]
	**Local erythema, warmth, swelling		**Local erythema, warmth, swelling
	**Well demarcated and raised border<ref name="Gunderson" />		**Well demarcated and raised border<ref name="Gunderson" />
	*Can be accompanied by fever, chills, malaise, headache, nausea/vomiting		*Can be accompanied by [[fever]], chills, malaise, [[headache]], [[nausea/vomiting]]
	[[File:erysipelas_well_demarcated.JPG\|thumbnail]]		[[File:erysipelas_well_demarcated.JPG\|thumbnail]]

Rossdonaldson1: /* Antibiotics */

2017-11-23T13:37:45Z

Antibiotics

← Older revision		Revision as of 13:37, 23 November 2017
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	===[[Antibiotics]]===		===[[Antibiotics]]===
	{{Erysipelas antibiotics}}		{{Erysipelas antibiotics}}
	~~Bullous Erysipela or MRSA suspected: trimethoprim-sulfamethoxazole, clindamycin, doxycycline, or minocycline~~

	==Disposition==		==Disposition==

Iwm5010: /* Management */

2017-11-22T21:45:57Z

Management

← Older revision		Revision as of 21:45, 22 November 2017
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	===[[Antibiotics]]===		===[[Antibiotics]]===
	{{Erysipelas antibiotics}}		{{Erysipelas antibiotics}}
			Bullous Erysipela or MRSA suspected: trimethoprim-sulfamethoxazole, clindamycin, doxycycline, or minocycline

	==Disposition==		==Disposition==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T02:53:48Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 02:53, 22 July 2016
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	{{Template:SSTI DDX}}		{{Template:SSTI DDX}}

	==~~Diagnosis~~==		==Evaluation==
	===Work-up===		===Work-up===
	*Unlike [[Necrotizing fasciitis]] and skin infections with purulent collections or exudates, bacteriology work-up (biopsy, blood culture, etc) generally does not yield results in erysipelas.<ref name="GC">Gabillot-Carré M, Roujeau JC. Acute bacterial skin infections and cellulitis. Curr Opin Infect Dis. 2007 Apr;20(2):118-23.</ref>		*Unlike [[Necrotizing fasciitis]] and skin infections with purulent collections or exudates, bacteriology work-up (biopsy, blood culture, etc) generally does not yield results in erysipelas.<ref name="GC">Gabillot-Carré M, Roujeau JC. Acute bacterial skin infections and cellulitis. Curr Opin Infect Dis. 2007 Apr;20(2):118-23.</ref>

Ostermayer: Text replacement - "Category:Derm" to "Category:Dermatology"

2016-03-22T13:13:43Z

Text replacement - "Category:Derm" to "Category:Dermatology"

← Older revision		Revision as of 13:13, 22 March 2016
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	<References/>		<References/>

	[[Category:~~Derm~~]]		[[Category:Dermatology]]

Kxl328 at 04:53, 17 February 2016

2016-02-17T04:53:14Z

← Older revision		Revision as of 04:53, 17 February 2016
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	**Well demarcated and raised border<ref name="Gunderson" />		**Well demarcated and raised border<ref name="Gunderson" />
	*Can be accompanied by fever, chills, malaise, headache, nausea/vomiting		*Can be accompanied by fever, chills, malaise, headache, nausea/vomiting
			[[File:erysipelas_well_demarcated.JPG\|thumbnail]]

	==Differential Diagnosis==		==Differential Diagnosis==

Mholtz at 08:00, 22 August 2015

2015-08-22T08:00:49Z

← Older revision		Revision as of 08:00, 22 August 2015
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	==Background==		==Background==
	*Specific form of cellulitis involving the ~~epidermis, upper~~ levels of the dermis, and ~~the lymphatics~~		*Specific form of cellulitis involving the superficial levels of the dermis and subcutaneous tissues (including lymphatics)<ref name="Gunderson">Gunderson CG, Martinello RA. A systematic review of bacteremias in cellulitis and erysipelas. J Infect. 2012 Feb;64(2):148-55.</ref>
	*~~Most often~~ caused by ~~strep~~		*Majority of cases caused by streptococcus<ref name="Gunderson" /><ref name="GC" />
	**~~Bullous erysipelas~~, a ~~more severe form~~ of ~~the disease, is often caused by staph~~ (~~and MRSA~~)		**However, recent data indicates ''S. aureus'' (specifically, CA-MRSA) is a rising cause.
			*Usually affects lower extremities (face is also common)<ref name="Linke">Linke M, Booken N. Risk factors associated with a reduced response in the treatment of erysipelas. J Dtsch Dermatol Ges. 2015 Mar;13(3):217-25.</ref>

	==Clinical Features==		==Clinical Features==
	*Rash		*Rash
	**Local ~~redness~~, ~~heat~~, swelling		**Local erythema, warmth, swelling
	**~~Sharp~~ raised ~~and indurated~~ border		**Well demarcated and raised border<ref name="Gunderson" />
	*Can be accompanied by fever, chills, malaise, headache, nausea/vomiting		*Can be accompanied by fever, chills, malaise, headache, nausea/vomiting

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	==Diagnosis==		==Diagnosis==
			===Work-up===
			*Unlike [[Necrotizing fasciitis]] and skin infections with purulent collections or exudates, bacteriology work-up (biopsy, blood culture, etc) generally does not yield results in erysipelas.<ref name="GC">Gabillot-Carré M, Roujeau JC. Acute bacterial skin infections and cellulitis. Curr Opin Infect Dis. 2007 Apr;20(2):118-23.</ref>

			===Evaluation===
	*Clinical diagnosis, based on history and physical exam		*Clinical diagnosis, based on history and physical exam

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	==See Also==		==See Also==
			*[[Cellulitis]]

	==References==		==References==

Mholtz at 07:19, 22 August 2015

2015-08-22T07:19:43Z

← Older revision		Revision as of 07:19, 22 August 2015
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	*Specific form of cellulitis involving the epidermis, upper levels of the dermis, and the lymphatics		*Specific form of cellulitis involving the epidermis, upper levels of the dermis, and the lymphatics
	*Most often caused by strep		*Most often caused by strep
	*Bullous erysipelas, a more severe form of the disease, is often caused by staph (and MRSA)		**Bullous erysipelas, a more severe form of the disease, is often caused by staph (and MRSA)

	==~~Diagnosis~~==		==Clinical Features==
	*Often accompanied by fever, chills, malaise, HA, vomiting
	*Rash		*Rash
	**Local redness, heat, swelling		**Local redness, heat, swelling
	**Sharp raised and indurated border		**Sharp raised and indurated border
			*Can be accompanied by fever, chills, malaise, headache, nausea/vomiting

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Template:SSTI DDX}}		{{Template:SSTI DDX}}

	==~~Treatment~~==		==Diagnosis==
			*Clinical diagnosis, based on history and physical exam

			==Management==
	===[[Antibiotics]]===		===[[Antibiotics]]===
	{{Erysipelas antibiotics}}		{{Erysipelas antibiotics}}

	==~~Source~~==		==Disposition==
	*~~Tintinalli~~		*Generally may be discharged with outpatient treatment

			==See Also==


			==References==
			<References/>

	~~[[Category:Peds]]~~
	[[Category:Derm]]		[[Category:Derm]]