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Erysipelas

Erysipelas. St. Anthony’s fire/ Ignis Sacer Acute beta hemolytic group A Streptococcal infection Predisposing factors: Any break in the skin Involves superficial dermal lymphatics Local redness, heat, swelling, raised, indurated border

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Erysipelas

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  1. Erysipelas • St. Anthony’s fire/ IgnisSacer • Acute beta hemolytic group A Streptococcal infection • Predisposing factors: Any break in the skin • Involves superficial dermal lymphatics • Local redness, heat, swelling, raised, indurated border • Prodromal symptoms: Malaise, chills, high fever, headache, vomiting, and joint pains

  2. Erysipelas • PMN lekocytosis: 20,000/cu. mm or more • Skin lesions may vary from transient hyperemia, followed by slight desquamation to intense inflammation with vesiculation and phlegmon • Eruption begins at 1 point as an erythematous patch and spreads by peripheral extension

  3. Erysipelas • Advancing edge • Raised and sharply demarcated • Vesicles or bullae may contain seropurulent • May result to gangrene • Most frequently affected sites: Face and Neck • Face: begins on the cheek near the nose or in front of the lobe of the ear and spreads toward the scalp • Complications: Septicemia, Deep cellulitis

  4. Erysipelas

  5. Cellulitis • Suppurative inflammation involving the subcutaneous tissue • Streptococcus pyogenes • Children, Immunocompromised: Increased risk for severe complications • Hematologic malignancy, DM, IV drug abuse, Cardiovascular disorders

  6. Cellulitis

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