erysipelas…

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erysipelas on the cheek, erysipelas on the face, erysipelas, type of cellulitis, skin infection, generally, group a streptococci, erysipelas, affect both children, adults, risk factors associated, infection include local trauma, break, in the skin, skin ulceration, impaired venous, lymphatic drainage, face was most commonly involved yet now accounts, up to 20% of cases, lower extremities, legs, 80% of cases, an erysipelas skin lesion typically has a raised border that is sharply demarcated from normal skin, underlying skin is painful, intensely red, hardened, indurated, swollen, warm, facial erysipelas lesions classically involve the cheeks, bridge, the nose, blisters, develop over the skin lesion, fever, shaking chills, common, diagnosis of erysipelas, the characteristic appearance, the skin lesion, skin biopsies, not needed, blood cultures, rarely positive, up to 5%, the time, cornerstone of therapy is treatment, antibiotics penicillin, active against streptococci, depending on the severity, intravenous antibiotics used, in less severe cases, oral antibiotics sufficient, in individuals, recurrent erysipelas, long-term antibiotics required, appropriate antibiotic therapy is given early, outcome is favorable, skin changes, take up to a few weeks to normalize, peeling is common, patients, streptococci, travel, blood, bacteremia, additional sites involved heart valves, joints, bones, bacteremia is present, infection, spread to other areas joints, bones, heart valves, septic shock, recurrence of infection, skin lesion that has features of erysipelas, avoiding cuts, scrapes, reduce the risk, the development of erysipelas.