Erysipelas

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A superficial cellulitis with lymphatic vessel involvement, due to streptococcal infection.

Begins as a small break in the skin or umbilical stump (children). Area affected has a growing area of redness and swelling, accompanied by high fever and pains.

Treat with:

Medicine	Adult dose	Frequency	Duration
erythromycin po	250-500mg [Paed = 125-250mg]	4 times a day	7 days
benzathine penicillin im	1.2g	single dose

In penicillin allergy

Erysipelas has a tendency to recur in the same area. If recurrent episode, increase duration of antibiotic to 10-14 days.