A case report of an Infant erysipelas on a impetigo

Abstract

Erysipelas is a relatively common infection of the upper dermis and superficial lymphatics. It affects mainly adults, between 40 and 80 years of age, especially immunocompromised ones, but some cases were reported also in newborns and infants. Its pathogenesis mostly involves a disruption of the skin barrier allowing the infective agent, mainly group a b-hemolytic streptococcus, to enter. It most commonly involves the lower extremities or the face, presenting as a welldemarcated, tender, tense, deeply erythematous and indurated plaque. These lesions may spread more rapidly in infants than in older patients and seems to undergo rapid exacerbations at times until the administration of treatment. We report an unusual pediatric case of a leg erysipelas on a impetigo in a 24-month-old infant with good result.