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Erysipelas and Cellulitis


Authors: J. Nováková 1,2
Authors‘ workplace: Kožní oddělení Fakultní nemocnice Ostrava přednosta prim. MUDr. Yvetta Vantuchová, Ph. D. 1;  Lékařská fakulta Ostravské univerzity, katedra interních oborů 2
Published in: Čes-slov Derm, 93, 2018, No. 2, p. 51-66
Category: Reviews (Continuing Medical Education)

Overview

In the Anglo-Saxon literature, erysipelas is defined as an acute infectious disease affecting the superficial dermis as well as the lymphatics. The term “cellulitis” then refers to a deeper process involving the reticular dermis and subcutaneous fat tissue, which clinically, unlike erysipelas, exhibits less sharp borders of erythema. In clinical practice, as well as in this article, the term erysipelas is usually used for both of these conditions. The most common etiologic agents are the beta-hemolytic group A streptococci. Typically, erysipelas and cellulitis present as acute diseases with characteristic local and general symptoms, the treatment of choice are antibiotics. It is a disease with predisposing factors, a disease with a tendency to recurrence, and lasting consequences. From the epidemiological point of view, it is an infectious disease with possible transmission to other persons. The article provides an overview of current knowledge about clinical picture and treatment of this disease.

This article provides a review of current knowledge about clinical picture and treatment of these diseases.

Key words:

erysipelas – cellulitis – Streptococcus pyogenes – antibiotic treatment – prophylactic treatment


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