Erysipelas: Difference between revisions
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==Background== | ==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== | ==Diagnosis== | ||
*Often accompanied by fever, chills, malaise, HA, vomiting | *Often accompanied by fever, chills, malaise, HA, vomiting | ||
*Rash | *Rash | ||
**Local redness, heat, swelling | **Local redness, heat, swelling | ||
**Sharp raised and indurated border | |||
==Treatment== | ==Treatment== | ||
*Penicillin G (300K U/d IM for <30 kg, 600K to 1 million U/d IM for >30 kg) | *Simple erysipelas | ||
** | **Penicillin G (300K U/d IM for <30 kg, 600K to 1 million U/d IM for >30 kg) | ||
*Bullous erysipelas | |||
**Clindamycin OR trimethoprim-sulfamethoxazole | |||
==Source== | ==Source== | ||
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[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:Derm]] | |||
Revision as of 17:43, 6 November 2011
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
Treatment
- Simple erysipelas
- Penicillin G (300K U/d IM for <30 kg, 600K to 1 million U/d IM for >30 kg)
- Bullous erysipelas
- Clindamycin OR trimethoprim-sulfamethoxazole
Source
- Tintinalli