Erysipelas: Difference between revisions
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**Local redness, heat, swelling | **Local redness, heat, swelling | ||
**Sharp raised and indurated border | **Sharp raised and indurated border | ||
==Differential Diagnosis== | |||
{{Template:SSTI DDX}} | |||
==Treatment== | ==Treatment== | ||
*Simple erysipelas | *Simple erysipelas | ||
**Penicillin G (300K U/d IM for <30 kg, 600K to 1 million U/d IM for >30 kg) | **[[Penicillin G]] (300K U/d IM for <30 kg, 600K to 1 million U/d IM for >30 kg) | ||
*Bullous erysipelas | *Bullous erysipelas | ||
**Clindamycin OR | **[[Clindamycin]] OR [[Trimethoprim/Sulfamethoxazole]] | ||
==Source== | ==Source== | ||
Revision as of 05:56, 6 April 2014
Background
- Specific form of cellulitis involving the epidermis, upper levels of the dermis, and the lymphatics
- Most often caused by strep
- Bullous erysipelas, a more severe form of the disease, is often caused by staph (and MRSA)
Diagnosis
- Often accompanied by fever, chills, malaise, HA, vomiting
- Rash
- Local redness, heat, swelling
- Sharp raised and indurated border
Differential Diagnosis
Skin and Soft Tissue Infection
- Cellulitis
- Erysipelas
- Lymphangitis
- Folliculitis
- Hidradenitis suppurativa
- Skin abscess
- Necrotizing soft tissue infections
- Mycobacterium marinum
Look-A-Likes
- Sporotrichosis
- Osteomyelitis
- Deep venous thrombosis
- Pyomyositis
- Purple glove syndrome
- Tuberculosis (tuberculous inflammation of the skin)
Treatment
- Simple erysipelas
- Penicillin G (300K U/d IM for <30 kg, 600K to 1 million U/d IM for >30 kg)
- Bullous erysipelas
Source
- Tintinalli