Erysipelas of leg: symptoms and treatment with antibiotics

The symptoms and treatment of erysipelas of the legs

Skin is the external cover of the man who performs a specific function: protects organs and tissues from mechanical damage, provides thermoregulation, gas exchange, prevents the penetration of pathogenic microorganisms. In some cases, the skin is the object of the attack of bacteria, which leads to the development of dermatologic diseases, including erysipelas of the lower leg. Erysipelas – an acute infectious process caused by Streptococcus group A. the Lack of treatment leads to the progression of the disease, to develop complications.

  • Etiology and types of erysipelas
  • Clinical manifestations
  • Drug therapy faces
  • Surgery

Etiology and types of erysipelas

In order that a mug must present three favorable conditions for the development of the pathological process:

  • The presence of wound surface. The wound does not have to be large to infection enough small wounds or cracks;
  • Penetration in the wound of a certain type of pathogen. Provokes inflammation Streptococcus A. in Addition, the microbe contributes to the development of toxic substances, impairs immune system function. Leads to intoxication of the organism, contributes to the recurrence of the disease;
  • The decline in immune status. This point appears to be the dominant factor for the development of the infectious process of the skin. Inflammation of the skin of the feet erysipelatous character almost never occurs in patients who have good immunity.

Important: the disease often is diagnosed in men and women older than 45 years of age. For children under one year of infectious pathology is a deadly danger.

At risk include persons with HIV infection, by all oncological diseases, diabetes mellitus, and the elderly. To precipitating factors identify concomitant diseases: varicose veins, venous ulcers, fungal infections, obesity any stage, alcohol dependence.

Inflammation on foot erysipelatous character is of several forms. They differ in clinical manifestations, severity and medical treatment. Forms able to consistently move from one to another, so it is important to start timely therapy.

There are following types of diseases:

  • Erythematous type. Is characterized by classical symptoms, additional changes in the skin are absent.
  • Bullous appearance. Accompanied by the formation of blisters that are filled with serous content.
  • Hemorrhagic type. His feature – damaged tiny blood vessels, resulting in formation of blisters with hemorrhagic content.
  • Necrotic the view appears the most severe form of infectious process in which there is the withering away of the affected skin.
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    Erysipelas affects the lower leg, foot, face, upper limbs. Significantly less frequently found in the inguinal region or in other parts of the human body.

    Clinical manifestations

    Erysipelatous inflammation of leg symptoms and treatment need to be addressed taking into account these. Stands a local and General symptoms. The incubation period varies from 3 to 5 days. Erysipelas on the leg, face, upper extremities, etc. localization begins with increasing temperature of the body, pain in the affected area

    Usually the first day the patient revealed fever. Body temperature rises to 38 degrees. As the progression of pathology it increases to 40 degrees, inclusive. Symptoms of intoxication:

    • Severe lethargy;
    • Loss of appetite;
    • Sweating;
    • High sensitivity of sound and light.

    12 hours after the first signs symptoms of skin lesions and lymph structures. They are a little different depending on the localization of the inflammatory process, but they have redness.

    Erysipelas of the lower leg may spread beyond the affected area, or remain only in a certain area. This aspect is due to the aggressiveness of the pathogen, the resistance of the immune system, time to begin treatment.

    The clinical symptoms of the skin:

  • Strong hyperemia, which is slightly raised above the surface of the skin. From healthy tissue, it is limited to a dense cushion. In severe form it may be absent.
  • Pain when touching the affected area.
  • Swelling of inflamed areas (hands, feet, forearms, etc.).
  • Palpation of the lymph nodes near the site of infection pain is felt.
  • On the background of the bullous forms appear blisters filled with fluid mixed with blood or serous content.
  • Note the prevalence of erysipelas large – is in fourth place after acute respiratory infections, pathologies of the gastrointestinal tract and hepatitis.

    Erysipelas on the leg has its own characteristics:

    • The infection is always localized on the foot or lower leg, the hip is affected in extremely rare cases;
    • Often in the inguinal folds are formed painful swelling oval – inflamed inguinal lymph nodes, which are holding back the pressure of the infection;
    • Intensive lymphedema swelling apply to the foot, Shin and thigh. To detect it simply, if a finger to put pressure on the skin, after withdrawal of the finger recess is maintained for 5-15 seconds.
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    In most clinical pictures of erysipelas of the lower extremities occur significantly easier than with other localization of the infection process. The exceptions include necrotic and complicated form.

    Drug therapy faces

    How to treat erysipelas of the leg? Schema therapy is based on the form of the pathology, clinical manifestations, the severity of the inflammatory process and other factors. If the disease occurs in mild form, required medical therapy, surgically not treated.

    Treatment of erysipelas of the legs can be done at home in accordance with the recommendations of a medical professional. If the patient feels bad, there is a strong inflammation, it can be hospitalized.

    Worth knowing: if the affected area is the face, the treatment is always carried out only in stationary conditions.

    Erysipelas of the feet, using antibiotics:

  • Amoxiclav belongs to the penicillin series. With caution is prescribed for diseases of the gastrointestinal tract, liver failure, violations of liver function.
  • Sulfalen, a Sulfonamide – belong to the sulfonamides. Cannot be assigned for anemia, hematopoietic disorders, patients with renal and hepatic impairment, porphyria.
  • The duration of antibiotic treatment is determined individually. Typically, the period of the therapeutic course ranges from 10 to 15 days.

    The treatment includes antihistamine medications. As pathological the body can lead to the development of severe allergic reactions. Often the doctor recommends the use of drugs – loratadine, Desloratadine. If the patient has no opportunity to buy these medicines, it is offered an alternative – Suprastin, Diphenhydramine, etc.

    For the treatment of erysipelas using anti-inflammatory medications hormonal nature. Recommended Nimesulide as a drug is characterized by a minimum of side effects. As an alternative – Ketorolac, Diclofenac, Ibuprofen.

    What to apply ointment for the face, interested patients? Ointment of erysipelas at the initial stage of the disease is never assigned. In the early stage of the disease, doctors focus exclusively on the antibacterial and symptomatic therapy. The use of ointments of erysipelas on the legs permissible in vesicular form of the disease:

    • Ichthyol ointment has a pronounced antiseptic effect, provides a high degree of disinfection, reduces the severity of the inflammatory process;
    • Vishnevsky ointment is necessary when severe form of the disease, effectively fights with old infections.
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    What ointment is used in the home? To speed up the healing process, and use the tool of local action Naftalan. The drug relieves the redness, swelling, accelerates restoration of the skin.

    How to treat erysipelas, if there were complications, tell the doctor. The patient need to be hospitalized in a medical institution, treatment is carried out under medical supervision.


    Sometimes the question of how to get rid of erysipelas, one answer – surgery. The indications for surgical procedures is the formation of ulcers, abscesses, abscesses, tissue necrosis or bullous form of erysipelas.

    Note: surgical intervention is performed under General anesthesia, takes no more than 40 minutes of time.

    During medical procedures, the doctor reveals erysipelas of the lower leg, gets rid of the purulent content. The wound surface is not sutured, is left open, install a rubber tube to the outflow of liquid. If was discovered the dead tissue, they are removed, then continuing medication.

    In General, therapy pathology takes 2-3 weeks. Decreasing the number of pathogens, the skin begins to be updated. Redness is reduced, the damaged area of the film remains – the «old» skin. In the final rejection, it is removed independently; beneath it is unchanged epithelial layer. The forecast is positive if managed to prevent complications.

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