6.2. Skin and Soft Tissue Infection - Erysipelas Flashcards

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1
Q

What type of infection is Erysipelas?

A

An infection of the Upper Dermis

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2
Q

How is Erysipelas described?

A

Distinct Red area with Elevated Borders

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3
Q

What are the symptoms of Erysipelas?

A
  1. Painful, red area (no central clearing)
  2. Associated Fever
  3. Regional Lymphadenopathy
  4. Regional Lymphangitis
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4
Q

What is the most common causative organism of Erysipelas?

A

Streptococcal Pyogenes

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5
Q

Where does Erysipelas usually occur?

A
  1. 70-80% of cases involve the Lower Limb
  2. 5-20% affect the face
  3. Tends to occur in areas of:
  4. a) Pre-existing Lymphoedema
  5. b) Venous Stasis
  6. c) Obesity
  7. d) Paraparesis
  8. e) Diabetes Mellitus
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6
Q

Does Erysipelas involve intact skin?

A

Yes, it may do

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7
Q

Does Erysipelas have a high recurrence rate?

A

Yes, 30% in 3 years

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8
Q

What is the treatment of Erysipelas?

A

A combination of anti-staphylococcal and anti-streptococcal antibiotics
Note - in extensive disease, admission of I.V. antibiotics and rest may be needed

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