Erysipelas

10 min read

Erysipelas is a bacterial infection of the skin and underlying tissues. It is caused by a type of bacteria called Streptococcus pyogenes, which is the same bacteria that causes strep throat. Erysipelas is a type of cellulitis, which is an infection of the deeper layers of the skin. It is most commonly found on the face, legs, and arms, but can occur anywhere on the body.

Signs and Symptoms

Erysipelas typically begins as a red, raised, and painful area of skin. The area may be warm to the touch and may have a shiny appearance. As the infection progresses, the area may become swollen and blisters may form. The area may also become itchy and tender. In some cases, the infection can spread to the lymph nodes, causing them to become swollen and tender.

Diagnosis

Erysipelas is typically diagnosed based on the appearance of the affected area. A doctor may also take a sample of the affected area and send it to a laboratory for testing. This can help to confirm the diagnosis and identify the type of bacteria causing the infection.

Complications

Erysipelas can lead to serious complications if it is not treated promptly. These complications can include sepsis, an infection of the bloodstream, and necrotizing fasciitis, a life-threatening infection of the deeper layers of the skin. Erysipelas can also lead to permanent scarring of the affected area.

Prevention

The best way to prevent erysipelas is to practice good hygiene. This includes washing your hands regularly and avoiding contact with people who have skin infections. It is also important to keep any cuts or scrapes clean and covered to prevent infection.

Symptoms

  • Red, raised, and painful rash
  • Fever
  • Chills
  • Headache
  • Fatigue
  • Swollen lymph nodes
  • Joint pain

If you experience any of these symptoms, it is important to seek medical attention as soon as possible. Treatment for erysipelas typically involves antibiotics and supportive care. If left untreated, the infection can spread and cause serious complications.

Take the Erysipelas Assessment

Causes

Risk Factors for Erysipelas

  • Weakened immune system
  • Diabetes
  • Alcoholism
  • Obesity
  • Lymphedema
  • Injury to the skin
  • Infection of the skin
  • Infection of the blood
  • Recent surgery

People with any of these risk factors should be aware of the signs and symptoms of Erysipelas and seek medical attention if they develop any of them.

Getting a Diagnosis

Diagnostic Tests

In order to confirm a diagnosis of erysipelas, a doctor may order a few tests. These tests may include a blood test to check for signs of infection, a skin culture to identify the bacteria causing the infection, and a biopsy to examine the tissue under a microscope.

Physical Examination

A doctor will also perform a physical examination to look for signs of erysipelas. This may include looking for a red, raised rash on the face, arms, or legs. The doctor may also feel the area to check for warmth and tenderness.

Medical History

The doctor may also ask questions about the person's medical history. This may include questions about any recent illnesses, any medications the person is taking, and any other medical conditions the person may have.

Treatment

Once a diagnosis of erysipelas is confirmed, treatment typically involves antibiotics. The antibiotics may be taken orally or applied topically to the affected area. In some cases, the doctor may also recommend bed rest and elevation of the affected area.

Questions for Your Doctor

Medical History

Your doctor will want to know your medical history, including any previous skin infections, any medications you are taking, and any allergies you may have. This information will help your doctor determine the best course of treatment for you.

Symptoms

Your doctor will want to know the symptoms you are experiencing. Be sure to tell your doctor about any redness, swelling, or pain in the affected area. Also, let your doctor know if you have a fever or any other symptoms.

Treatment Options

Your doctor will discuss the various treatment options available to you. These may include antibiotics, topical creams, or other medications. Your doctor will also discuss any lifestyle changes you may need to make to help prevent future infections.

Follow-up Care

Your doctor will likely recommend follow-up care to ensure that the infection has been properly treated. This may include additional tests or follow-up visits. Be sure to ask your doctor any questions you may have about the follow-up care.

Prevention

Your doctor may also discuss ways to prevent future infections. This may include avoiding contact with people who have skin infections, washing your hands frequently, and avoiding sharing personal items such as towels or clothing.

Treatment

Antibiotics

Antibiotics are the most common treatment for erysipelas. Oral antibiotics are usually prescribed for mild cases, while more severe cases may require intravenous antibiotics. The type of antibiotic prescribed will depend on the severity of the infection and the type of bacteria causing it. Common antibiotics used to treat erysipelas include penicillin, erythromycin, and clindamycin.

Topical Treatments

Topical treatments may be used in addition to oral antibiotics to reduce the symptoms of erysipelas. These treatments can include creams, ointments, and lotions that contain antibiotics, anti-inflammatory medications, or other ingredients that can help reduce the swelling and pain associated with the infection. These topical treatments should be applied directly to the affected area several times a day.

Compression Therapy

Compression therapy is a type of treatment that involves wearing a special garment or bandage to help reduce swelling and pain. This type of therapy is often used in combination with antibiotics and topical treatments to help reduce the symptoms of erysipelas. Compression therapy can also help reduce the risk of the infection spreading to other parts of the body.

Surgery

In some cases, surgery may be necessary to treat erysipelas. Surgery may be used to remove any dead or infected tissue, or to drain any abscesses that have formed. Surgery is usually only recommended in severe cases of erysipelas, and it is important to discuss the risks and benefits of this type of treatment with your doctor.

Drugs & Medications

How to Treat Erysipelas

The primary treatment for erysipelas is antibiotics. Antibiotics are used to kill the bacteria that cause the infection. Common antibiotics used to treat erysipelas include penicillin, erythromycin, and clindamycin. In some cases, a combination of antibiotics may be used. It is important to take the full course of antibiotics as prescribed by your doctor to ensure the infection is completely treated.

In addition to antibiotics, supportive care is also important in treating erysipelas. This includes keeping the affected area clean and dry, and applying cool compresses to reduce swelling and pain. Over-the-counter pain medications such as ibuprofen or acetaminophen can also be used to reduce pain and fever. In severe cases, hospitalization may be necessary.

Preventing Erysipelas

The best way to prevent erysipelas is to practice good hygiene. This includes washing your hands often, avoiding contact with people who have skin infections, and keeping cuts and scrapes clean and covered. It is also important to avoid sharing personal items such as towels, razors, and clothing. If you have a weakened immune system, it is important to take steps to strengthen your immune system and reduce your risk of infection.

Diet

What to Eat

A healthy diet for erysipelas should include plenty of fresh fruits and vegetables, whole grains, lean proteins, and healthy fats. Eating a variety of these foods can help ensure that you get all the vitamins and minerals your body needs to stay healthy. Here are some specific foods to include in your diet:

  • Fruits and vegetables: Apples, oranges, bananas, spinach, kale, broccoli, carrots, tomatoes, bell peppers, and other fresh produce.
  • Whole grains: Oats, quinoa, brown rice, barley, and other whole grains.
  • Lean proteins: Chicken, turkey, fish, eggs, beans, and other lean proteins.
  • Healthy fats: Avocados, olive oil, nuts, and seeds.

What to Avoid

In addition to eating a healthy diet, it’s important to avoid certain foods that can increase your risk of developing erysipelas. These include:

  • Processed foods: Packaged snacks, frozen meals, and other processed foods.
  • Refined carbohydrates: White bread, pasta, and other refined carbohydrates.
  • Sugary drinks: Soda, juice, and other sugary drinks.
  • Alcohol: Beer, wine, and other alcoholic beverages.

Conclusion

Eating a healthy diet can help reduce your risk of developing erysipelas. Focus on eating plenty of fresh fruits and vegetables, whole grains, lean proteins, and healthy fats. Avoid processed foods, refined carbohydrates, sugary drinks, and alcohol. By following these tips, you can help keep your body healthy and reduce your risk of developing the infection.

Lifestyle

Stay Clean and Dry

Keeping your skin clean and dry is one of the best ways to reduce your risk of Erysipelas. Wash your skin regularly with a mild soap and warm water, and make sure to dry your skin completely after bathing. Avoid wearing tight-fitting clothing that can trap moisture and bacteria against your skin.

Avoid Injury to Your Skin

Injury to your skin can increase your risk of developing Erysipelas. Be careful when shaving, and avoid using harsh soaps or scrubbing your skin too hard. Wear protective clothing when engaging in activities that could cause skin injury, such as gardening or working with sharp tools.

Eat a Healthy Diet

Eating a healthy diet can help boost your immune system and reduce your risk of developing Erysipelas. Make sure to include plenty of fresh fruits and vegetables in your diet, as well as lean proteins and whole grains. Avoid processed foods and sugary snacks, as these can weaken your immune system.

Get Regular Exercise

Regular exercise can help boost your immune system and reduce your risk of developing Erysipelas. Aim for at least 30 minutes of moderate exercise each day, such as walking, jogging, or swimming. Exercise can also help reduce stress, which can further reduce your risk of developing Erysipelas.

See Your Doctor Regularly

If you have a weakened immune system or other risk factors for Erysipelas, it is important to see your doctor regularly for check-ups. Your doctor can monitor your condition and provide advice on how to reduce your risk of developing Erysipelas.