Causes and treatment of Erysipelas (Fire of St. Anthony)


Erysipelas is an infection of the outer layers of the skin caused by the bacterium called Streptococcus pyogenes.The symptoms include pain, redness and eruption and, often, temperature, chills and indisposition.erysipelas can also cause swelling and blocking of the surface containers of the lymphatic system.Although potentially serious, erysis can usually be treated with antibiotics.

Errysipelas is sometimes called ul. Fuego Anthony due to the burning appearance of the eruption.Erisipelas was identified as the 11th century, where he and a group of other diseases were organized in honor of San Antonio, the patron saint of lost causes.

Síntomas Erysipelas

DermNet / CC BY-NC-ND

Erysipelas is characterized by well-made areas of brightly red, raised and coriaceous areas. This happens more frequently on the face, but it can also include hands, hands, legs or feet.Heat, pain and swelling and swelling are also common.

The range of symptoms is usually preceded by the appearance of eruptions Four to 48 hours.They may include:

  • fever
  • fatexia
  • vomiting
  • >

The appearance of eruption, as a rule, is applied quickly and quickly.The infection can go beyond the layers of the surface and cause the formation of small liquid blisters (vesicles) and precise precise ( Petechiae ).Closing the lymph nodes that come to infections can also be inflamed, such as leather, rusting the lymph nodes.

lympedema is a common feature of Erysipelas, in which the obstruction of the Lymphatic Systems Causes overloading fluid fabrics that lead to swelling ( edema ) Extremities,Neck or face.


Erysipelas can cause small cracks in the skin bar, which allows bacteria to enter the bloodstream.In some cases, this can lead to a systemic bacterial infection, known as bacteremia . If this happens, the infection can distribute (distribute) and begins the influence on joints, bones, heart and brain.

In rare cases, the spread of bacteria throughout the body can lead to an endocarditis (sincere infection), septic arthritis , / A> or post -Streptococal glomerulonephritis (The status of the kidneys mainly affects children). / P>

If the bacteremia is preserved, it can cause a potentially fatal inflammatory response from all over the body, known as sepsis (especially in people with a weakened immune system).Sepsis is characterized by fever, difficult breathing, fast heart and mental confusion. In rare cases, this can lead to a septic shock.


Erysipelas caused by the bacteria Streptococcus pyogenes, which can also be called pharyngitis (sore throat) and shooter.Hands and hands are amazed with the face more often, because a person with the throat strepting can cough and throw a virus on the skin.

Errysipipelas usually occurs when bacteria entered the edge, abrasion or other skin gap and multiplies quickly and extends through small lymph vessels just below the surface of the skin.In an attempt to neutralize bacteria, the immune system launches an inflammatory attack, which will lead to dilution of blood vessels and local tissues.

In some cases, the bacteria can penetrate the skin without compromise if there is a previously existing lymph (for example, after a radical mastectomy, where the lymph nodes are removed). Without a lymphatic system for the insulation of microorganisms pathogens, the leather is more vulnerable to local infections.

While lymphedema can increase the risk of Ersipipelas, Erysipelas can also cause lymphhem , increasing the risk of reinfection and relapse.

Risk factors

Erysipelas more frequently Older people and babies They have weaker immunological systems and less capable of dealing with local infections.With what he said, anyone can be affected, especially those with certain risk factors:

  • broken skin, including cuts, abrasions, insect bites, ulcers, animal bites, pinchs ,And burns
  • Immunodeficiency
  • psoriasis
  • venous insufficiency
  • diabetes
  • have overweight
  • Lymphedema
  • chip-The throat
  • previous history erysipelas


How it is so different, erysis can usually be diagnosed in the external appearance of rash alone.Biopsies and skin cultures generally do not help with a diagnosis.Some blood tests, such as a blood blood cell (WBC) or a , can be useful when detecting immune activation and inflammation , but they are can not diagnose erysipelas.

To perform the final diagnosis of Erysipelas, the health care provider should often exclude other possible reasons, such as:

  • cellulitis
  • Skin allergies,Including insect picaduras
  • angioedema
  • Contact Dermatitis
  • Alergias in the drug
  • Stevens- Johnson Syndrome
  • Tóxic epidermic necrosis

Erysipelas vs.Cellulite

Cellulite is similar to Erysipelas in the fact that it can be caused by Streptococcus pyogenes (as well as other streptococcal and staphylococcal bacteria). However, there are key differences between two skin infections.

Errysipelas affects the upper layers of the skin, while cellulite affects the deepest tissues.Because of this, erysipellas are more likely to form vesicles and release a clean serous fluid, and cellulite is more likely to be formed by <> applications and produces pus.

cellulite, as a general rule, develops more slowly than Erysipelas. With cellulite, the affected skin is not so red, and rarely has clearly defined borders.It is precisely because Erysipelas develops so fast, overloading the skin of inflammation, which happened fire and blurred eruption.


Standard treatment for Erysipelas – Antibiotics.Penicillin is, as a rule, is an option to treat the first line for streptococcal infections. Other antibiotics can be used if there are allergies to penicillin. .

  • dicloxacilin (Dycill, Dynapen)
  • erythromycin brands (Erythrocin, E-Mycin, Ery-Tab)
  • Azithromycin (Zithromax, Azasite, Z-Pak)
  • Most cases can be processed with oral antibiotics, not intravenous (IV).Any pain, edema or discomfort can be treated with rest, cold compress and high extremity.

    If the person participates, chewing must be minimized to avoid pain, in this case the soft diet can be recommended during The healing phase.

    Treatment is often controlled by marking the limits of the rash with a marker. It can be simplified if the withdrawals of the buildings, and the antibiotics work.

    In cases of sepsis (or when infections do not improve with oral antibiotics), antibiotics IV can be prescribed during hospitalization.

    Even after adequate treatment, Erysipelas can be repeated by 18% to 30% of cases, especially those that have equipped with an immune system.

    People with recurring infections may need prophylactics (prevention) of the antibiotic dose taken daily to prevent the repetition.

    Word of the obtaining of Meds

    Erosipelas – an infection of Quite common skin, which is easily treated in most cases and rarely leads to complications.However, if you have the symptoms of Erysipelas, you should call your doctor immediately. Forcing treatment avoids deterioration of its condition and helps facilitate discomfort.

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