Erysipelas

Chartier, Christian; Grosshans, É

doi:10.1111/j.1365-4362.1990.tb04833.x

Cited by 102 publications

(87 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Erysipelas is an extensive cutaneous infection of the integument usually involving the legs or the face that is caused by β-hemolytic streptococci of group A, but also occasionally by streptococci of groups G, C and B, and rarely by staphylococci [1,2,3,4,5]. In its classical form erysipelas is confined to the more superficial layers of the skin and cutaneous lymphatics, and presents with a sharply demarcated area of inflammation with pain and warmth, accompanied in most instances by fever and leukocytosis [3].…”

Section: Introductionmentioning

confidence: 99%

Bullous Erysipelas: Clinical Presentation, Staphylococcal Involvement and Methicillin Resistance

Krasagakis

Samonis²,

Maniatakis³

et al. 2006

Dermatology

View full text Add to dashboard Cite

Background: Erysipelas is a bacterial infection of the dermis and hypodermis, mostly of streptococcal origin. Bullous erysipelas represents a severe form of the disease. Objective: To evaluate the clinical and microbiological characteristics and treatment of bullous erysipelas. Methods: Patients with a diagnosis of bullous erysipelas who were treated at the Department of Dermatology, University Hospital of Heraklion, Crete, Greece, between the years 1996 and 2001 were retrospectively studied. Results: Fourteen patients (11 women, 3 men) with bullous erysipelas were evaluated. The lesions were located on the legs and face in 9 and 4 patients, respectively. The median duration of disease before hospital admission was 4 days. Eight patients had fever at presentation. Local trauma and various lesions were common causes for pathogen entry. The initial empirical antibiotic treatment included intravenous β-lactams and was modified according to the sensitivities of the isolated strains. Staphylococcus aureus was isolated from 7 (50%), while S. warneri, Streptococcus pyogenes and Escherichia coli grew from the lesions of 3 other patients. Six out of 7 S. aureus strains were methicillin resistant (MRSA) but susceptible to several other non-β-lactam antibiotics such as quinolones, vancomycin, rifampicin and trimethoprim/sulfamethoxazole. Conclusion: Our findings suggest that S. aureus is frequently involved in and probably contributes in synergy with β-hemolytic streptococci to the complicated course of bullous erysipelas. The frequency of MRSA isolation suggests that β-lactam antibiotics may not be sufficient for the treatment of bullous erysipelas anymore, at least in areas with a high incidence of MRSA strains. The role of other classes of antibiotics providing adequate coverage for MRSA has to be evaluated in prospective clinical trials.

show abstract

Section: Introductionmentioning

confidence: 99%

Bullous Erysipelas: Clinical Presentation, Staphylococcal Involvement and Methicillin Resistance

Krasagakis

Samonis²,

Maniatakis³

et al. 2006

Dermatology

View full text Add to dashboard Cite

show abstract

“…1,7,8,11 The percentage of patients with lower limb lesions in our series was 73.6%, with the genitalia and upper limb next common sites. Several authors have attempted to identify predisposing factors by analyzing data from each patient's history and classifying these as local and general risk factors.…”

Section: Discussionmentioning

confidence: 57%

“…In agreement with reports of previous series, we found statistically no significant sex-related difference. 11,12 A study by Weng et al 9 conducted in the UK investigated 610 patients with diabetes attending an inner city hospital for the first time, and found that those individuals living in areas classified as 'deprived' were 3.5 times more likely to experience foot ulceration or amputation compared to individuals living in areas classed as 'intermediate', and were twice as likely to experience these complications compared to those living in more 'prosperous' areas. Bihan et al 10 conducted a cross sectional prevalence study that included 135 patients with diabetes admitted to a French hospital.…”

Section: Discussionmentioning

confidence: 99%

Prospective study on sociodynamics of cellulitis in general surgical unit

Chakravarthy¹,

Gandeti²,

Gs³

et al. 2015

Int J Res Med Sci

View full text Add to dashboard Cite

INTRODUCTIONCellulitis is an inflammatory condition of the skin and subcutaneous tissue, characterized by erythema, swelling, warmth, and pain. The etiologic agents are most often Streptococcus pyogenes and Staphylococcus aureus, followed by non-group A beta-hemolytic streptococci and gram-negative bacilli.1,2 Cellulitis is a common medical emergency, the severity of which varies from mild to life threatening. The infection can occur any site in the body; lower limbs are affected in >70% of cases.1 Risk factors for cellulitis of the lower limbs include the presence of sites of entry for the etiologic agent and predisposing factors, such as being overweight and having lymphedema.3,4 Sites of entry are commonly created by traumatic injury, leg ulcers, and possibly, dermatophytic toe web intertrigo.3-5 Two recent case-control studies addressing risk factors for cellulitis demonstrated a significantly higher rate of toe web intertrigo in the patient group.3,4 Although dermatophytes do not cause cellulitis, they lead to scaling and fissure formation and, by disruption of the skin, provide a niche for bacteria that could enter the body. Two reports have confirmed the presence of pathogenic bacteria, such as beta-hemolytic ABSTRACT Background: Cellulitis is a potentially serious infection that commonly recurs. The identification of preventable dynamic factors could reduce infection related morbidity and cost and improve patient management. The aim of this study was to identify the dynamic factors associated with cellulitis, including analysis of risk factors associated with cellulitis in either limb and in other parts of the body. Methods: We conducted a prospective study on 110 patients with cellulitis in either limb and in other parts of the body, who were admitted in septic ward of all units of King George hospital between period of December 2013 to December 2014. The factors such as low socioeconomic status, illiteracy, rural area, nutritional status and associated co-morbid conditions and their effect on outcome of patient were studied. Univariate analyses were performed to describe the study. Results: The median age of the participants was 62.5 years. The following risk factors were strongly and independently associated with cellulitis and outcome of the patient; illiteracy (OR, 4; P value 0.010), age above 50 years (OR, 0.110; P value 0.000), residing in rural areas (OR, 4.008; P value 0.006), low socioeconomic status (OR, 0.241; P value 0.030) and associated co-morbid conditions (OR, 0.390; P value, 0.032). Conclusion: Patients usually presented in the late stage of disease because of illiteracy, ignorance and poor knowledge. Patients should be educated to routinely inspect their feet, and the importance of appropriate footwear should be emphasized. Patients who are actively involved in their care can improve their quality of life and have a better outcome.

show abstract

“…4,5 O local mais acometido pela erisipela segundo a literatura 16 consultada revelou-se os membros inferiores, assim como apontou este estudo (cerca de 90%). Segundo Ronnen et al e Dompmartin, o maior interesse pela estética e higiene facial adequada seria o responsável pelo declínio da localização facial, comum em épocas anteriores.…”

Section: Discussionunclassified

Experiência clínica na avaliação de 284 casos de erisipela

Bernardes¹,

Augusto

Lopes

et al. 2002

An. Bras. Dermatol.

View full text Add to dashboard Cite

Resumo: Os autores analisam algumas características da erisipela no Brasil, alertando para a importância das formas de prevenção de recorrências, que podem ocasionar um quadro clínico de elefantíase, limitando muito as atividades familiares, sociais e profissionais do paciente. Fazem uma análise retrospectiva de 284 casos de erisipela no período de 1995 a 1996, analisando os seguintes fatores: sexo, idade, topografia da lesão, predisposição local e sistêmica, porta de entrada, tratamento, complicações e eventual necessidade de internação. Os resultados mostram que os homens e os obesos são mais atingidos pela doença, a faixa etária com maior incidência é a dos 60 aos 70 anos, e os membros inferiores são os locais de preferência para instalação. Nesta casuística, a tinha dos pés foi a principal porta de entrada da infecção bacteriana, e, quando o paciente apresentava bolhas necrotizantes, houve necessidade de internação hospitalar para tratamento. Como medicação de escolha e não havendo contra-indicação, a maioria dos casos foi tratada com penicilina benzatina e a cristalina Palavras-chave: Erisipela; Streptococcus Summary: This study concerns Erysipelas disease in Brazil and is also a warning regarding the importance of preventing its recurrence, which may lead to a clinical picture of elephantiasis and consequent impairment in the domestic INTRODUÇÃOA erisipela é uma celulite superficial com intenso comprometimento do plexo linfático subjacente e se caracteriza por placas eritematosas acompanhadas de dor e edema. Apresenta, ainda, bordos elevados e enduração que confere à pele aspecto de casca de laranja, conforme observação de Tanaka. Essas lesões expandem-se perifericamente, tornamse quentes e com limite demarcado, dois ou três dias depois do aparecimento dos sintomas gerais, que incluem um perío-do prodômico, em que há brusca elevação da temperatura até 39 o C ou 40 o C, calafrios, náuseas e intenso mal-estar.O agente etiológico mais comum da erisipela é o Streptococcus beta-hemolítico do grupo A (raramente dos grupos C ou G, e, em recém-nascidos, do grupo B), 2 podendo ocorrer infecção pelo Staphilococcus aureus.Ocorre em qualquer faixa etária, e o pico se dá entre 60 e 80 anos Os locais mais acometidos são os membros inferiores, seguidos da face e membros superiores. É mais freqüente em pacientes do sexo feminino, sendo observada na maioria dos casos uma porta de entrada bem definida, como úlceras, traumas, micoses superficiais, picadas de inseto e feridas maltratadas.O diagnóstico é essencialmente clínico, uma vez que o isolamento do agente raramente é conseguido, provavelmente por sua presença escassa ou devido a suas complexas exigências dos meios de cultura.Na maioria dos casos existe indicação do uso de penicilina para tratamento da erisipela, mas, quando o paciente apresenta reação alérgica a esse tipo de medicamento, pode-se utilizar a eritromicina.As complicações mais freqüentes são erisipela bolhosa necrotizante, abscesso, tromboflebite superficial e profunda.O aumento da procura do Serviço de Em...

show abstract

Erysipelas

Cited by 102 publications

References 44 publications

Bullous Erysipelas: Clinical Presentation, Staphylococcal Involvement and Methicillin Resistance

Bullous Erysipelas: Clinical Presentation, Staphylococcal Involvement and Methicillin Resistance

Prospective study on sociodynamics of cellulitis in general surgical unit

Experiência clínica na avaliação de 284 casos de erisipela

Contact Info

Product

Resources

About