Erysipelas- treatment, symptoms and cause of Erysipelas

Erysipelas is due to S. pyogenes and is characterized by an abrupt onset of fiery-red swelling of the face or extremities.

The distinctive features of erysipelas are well-defined indurated margins, particularly along the nasolabial fold; rapid progression; and intense pain. Flaccid bullae may develop during the second or third day of illness, but extension to deeper soft tissues is rare.

Treatment with penicillin is effective; swelling may progress despite appropriate treatment, though fever, pain, and the intense red color diminish.

Desquamation of the involved skin occurs 5 to 10 days into the illness. Infants and elderly adults are most commonly afflicted, and the severity of systemic toxicity varies.

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