Erysipelas

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Background

  • Cellulitis and lymphangitis of skin caused by GAS

Diagnosis

  • Often accompanied by fever, chills, malaise, HA, vomiting
  • Rash
    • Local redness, heat, swelling, raised, indurated border
    • Marked invovlement of superficial dermal lymphatics
    • Face is most frequent site

Treatment

  • Penicillin G (300K U/d IM for <30 kg, 600K to 1 million U/d IM for >30 kg)
    • Rapid clinical response is usually obtained.

Disposition

Source

Tintinalli

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