Erysipela

Erysipelas or rose (lat. erysipelas) is acute localized inflammation  skin with alteration total state of which the originator they are typically beta hemolytic streptococci group A (Streptococcus pyogenes), less often groups C, G and B (Streptococcus agalactiae ), by culture they can be sometimes proven golden staphylococci  or G-bacteria. The most common is erysipelas occurs on feet and in the face. Entrance gate the infection is broken cutaneous barrier ( maceration, leg ulcers , raga , erosion ). It is transmitted from sick person a person or endogenously from the nasopharynx to the injured skin, in newborns to the umbilical cord. Incubation the time is short, usually 1-3 days. Disease has propensity to relapse, relapse arise mostly endogenous by reactivation bacteria. It can happen after erysipelas after period latency (1–4 weeks ) to develop acute glomerulonephritis. In the Czech Republic is mandatory for the republic reporting erysipelas.

Clinical image
Sharp development total symptoms : Local symptoms :
 * fever with chills, pain head , sometimes  nausea  and general exhaustion.
 * Mon several hours are created locally entry infection inflammatory to phlegmonous changes ( redness, burning , itching , sensitivity until soreness , swelling ), bearing has irregular shape , can be linguistically to expand ;
 * regional lymphadenitis.

Species

 * Erysipelas bullosum  - in a deposit arise vesicles and bullae
 * Erysipelas migrans  - primary the bearing will heal, but it will appear in the surrounding area new bearings
 * Erysipelas haemorrhagicum  – bleeding into blisters
 * Erysipelas gangrenosum  - dying skin
 * Erysipelas phlegmonosum  - propagation in depth ( possible formation of cellulitis or necrosis fasciitis )
 * Erysipelas recidivans  - recurrent infection

Diagnostics

 * clinical image ;
 * culture from the lesion erysipelas, aspiration from a lesion , biopsy - low interception originator ;
 * ASLO titer ( antistreptolysin O) – skin infection they are very rarely guided increased by the ASLO title because streptolysin O is at local infection inactivated lipids contained in the skin ;
 * can be increased titer antibodies against deoxyribonuclease B.

Therapy

 * crystalline penicillin iv, po improvement status procaine penicillin  im.
 * symptomatic therapy
 * peace on the bed
 * in older patients it is necessary track cardiovascular function

Complications
Between complication belongs to :
 * Myocarditis, endocarditis  or  pericarditis ,
 * glomerulonephritis ,
 * rheumatic disabilities joints ,
 * pyartros ,
 * metastatic pneumonia ,
 * lymphedema ,
 * local devastation tissue, phlebitis  or  phlebothrombosis.

Related articles

 * Impetigo
 * Infection streptococci group A
 * Pyoderma
 * Ecthyma

Used literature


Category :Infectious medicine Category :Dermatovenerology Category :Pathology Category :Microbiology