Overview
Why is erysipelas called St. Anthony’s fire?
Where on the body does erysipelas occur?
What instructions should be given to patients during initial treatment of erysipelas?
What is the pathophysiology of erysipelas?
What is the role of streptococcal infection in the pathogenesis of erysipelas?
What are the risk factors for erysipelas?
What is the initial molecular event in the pathogenesis of erysipelas?
What is the role of lymphedema in the etiology of erysipelas?
What is the incidence of erysipelas in the US?
What is the global incidence of erysipelas?
How does the incidence of erysipelas vary among demographic groups?
What is the prognosis of erysipelas?
What are the complications of erysipelas?
What is the prevalence local recurrences of erysipelas and how does the disease progress?
Which factors increase the risk of mortality from erysipelas?
Presentation
What are the signs and symptoms of erysipelas?
What are the comorbidities of erysipelas?
Which physical findings suggest erysipelas?
DDX
How is erysipelas differentiated from cellulitis?
What are the differential diagnoses for Erysipelas?
Workup
What is the indication for bacterial cultures in the workup of erysipelas?
Which histologic findings are characteristic of erysipelas?
Treatment
When is debridement indicated in the treatment of erysipelas?
When is inpatient care indicated in the treatment of erysipelas?
What is the first-line therapy for erysipelas?
When is a first-generation cephalosporin indicated in the treatment of erysipelas?
When should a Staphylococcus aureus etiology be considered during the treatment of erysipelas?
Which medications are used in Europe to treat erysipelas?
Which antibiotics have FDA approval for the treatment of erysipelas?
What activity modifications are needed during treatment of erysipelas?
Which specialists should be consulted regarding the treatment of erysipelas?
How is recurrent erysipelas managed?
Guidelines
What guidelines are available for the diagnosis and management of erysipelas?
Medications
When should antibiotic therapy be initiated for erysipelas?
When are antipyretics and analgesics indicated in the treatment of erysipelas?
Which medications in the drug class Analgesics-Antipyretics are used in the treatment of Erysipelas?
Which medications in the drug class Antibiotics are used in the treatment of Erysipelas?
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Well-demarcated, erythematous plaque of erysipelas. Courtesy of the US Centers for Disease Control and Prevention.
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Facial erysipelas exhibiting classic fiery-red plaque with raised, well-demarcated borders.