What is Erysipelas? Treatment of Erysipelas?

Definition:- it is an acute inflammation of Lymphatics of skin and mucus membrane caused by Streptococcus pyogens.

Pre disposing factor:-

1. Malnutrition

2. Poor hygiene

3. Chronic diseases

4. Children and old people are commonly affected.

Site:-

1. Face

2. Eyelids

3. Scrotum

4. Umbilicus (in infants)

Mode of entry of the microorganism:-

1. Abrasion

2. Scratch

Clinical features:-

1. Rose pink color rashes(edges are red and button hole like consistency)

2. Vesicles appear on rash then serous discharge excreted from vesicle.

3. Swelling on affected part due to subcutaneous tissue oedema.

4. Margin- bright red in color.

5. Surface- raised

6. Brown color

7. Sign of Toxaemia

Constitutional symptoms:-

1. Fever

2. Malaise

Investigation:-

1. CBP with ESR

2. Bacteriology test of discharge

3. Blood sugar

Complications:-

1. Toxaemia

2. Septicaemia

3. Gangrene of skin and subcutaneous tissue

4. Lymphoedema

Treatment (Rx):-

1. Injection crystalline penicillin 10 lac unit 6 hourly for 5-10 days.

2. Rest and elevation of affected part

3. Anti-inflammatory

4. Analgesic

5. Insulin in Diabetes Melitus

6. Hydration(oral intake of water)

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