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Erysipelas is an infection of the skin by
The infection is subcutaneous and is more superficial than cellulitis
and hence well demarcated.
Symptoms and signs
The skin is painful, red, and tender. Patients
experience fever and chills. Bullae and vesicles may occur and leave crusts
when they rupture. Regional lymph gland enlargement is common.
The erysipelas rash may occur on face, arms, or
legs and has raised borders. The infection may recur, causing chronic
swelling of extremities (lymphadenitis).
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Cellulitis begins with minor trauma, such as a bruise, usually to
The organism may be cultured from skin lesions or recovered from
Erysipelas usually responds to penicillin or erythromycin.
Depending on the severity, treatment involves either oral or