Local complications of erysipelas: a study of associated risk factors

Krasagakis, Konstantin; Samonis, George; Valachis, Antonios; Maniatakis, Panagiotis; Evangelou, George; Tosca, Androniki

doi:10.1111/j.1365-2230.2010.03978.x

Cited by 29 publications

(38 citation statements)

References 20 publications

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“…The affected area of the skin appears imbibed, itchy and burning. [5] Quite a few authors in recent years report a change in the course of the disease -de novo erysipelas starts with localized pain in the affected area more often than with symptoms of general intoxication [12]. This has been confirmed by our own observations as well.…”

Section: Discusionssupporting

confidence: 78%

Erysipelas Penis

Bakardzhiev¹

2011

JofIMAB

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SUMMARYErysipelas is an acute streptococcal skin infection. The most common localizations of the disease are the lower extremities, face and trunk. Venous insufficiency, stasis ulcerations, inflammatory dermatitis, dermatophyte infections, insect bites and surgical incisions are the most common points of entry. We present a case report of a 28 year old male with erysipelas penis, combined with non-gonococcal urethritis, treated successfully with Moxifloxacin.

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Section: Discusionssupporting

confidence: 78%

Erysipelas Penis

Bakardzhiev¹

2011

JofIMAB

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“…Other studies conducted by Krasagakis et al [17], Picard et al [9], Mahé et al [10] and Crickx et al [18] have reported this complication respectively in 31.7%, 7.9 %, 9.9 % and 3.6% of patients, unlike in the Togo monocentric study where abscess complication was found only in 04% of patients. Abscess complication is the main factor of morbidity of erysipelas of the leg; it increases the time of hospitalization as well as the cost of healthcare.…”

Section: Discussionmentioning

confidence: 39%

“…Many studies reported the delay of antibiotics treatment as a main risk factor associated with local complications and particularly with abscess complications [5,9,17,18]. Delay of antibiotics allows the bacteria to reach the deep layers of the skin, and then increases the risk of abscess complications.…”

Section: Discussionmentioning

confidence: 99%

Erysipelas of the leg (cellulitis) in sub-Saharan Africa: a multicentric study of 562 cases

Saka¹,

Diatta²,

Faye³

et al. 2017

Our Dermatol Online

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INTRODUCTIONErysipelas also called bacterial dermo-hypodermitis is an infection of deep skin layers, mainly due to streptococcus [1,2]. Facial localization became become less frequent while the infection is currently developed on the leg [3,4]. Erysipelas of the leg is a common skin infection in dermatology consultation in sub-Saharan Africa [5][6][7][8]. However monocentric studies are rather conducted in these areas instead of multicentric type studies. We aimed at describing the epidemiological and clinical characteristics of erysipelas of the leg, and ABSTRACT Introduction: Erysipelas of the leg is a common and serious infection. We carried out this study aiming at describing the epidemiological and clinical characteristics, and assessing the risks factors associated with the local complications of erysipelas of the leg in sub-Saharan Africa. Methods: This was a prospective multicentric study carried out in the dermatology units of Hospitals located in seven sub-Saharan African countries during a period of 12 months. Patients aged 15 and above with a first episode of erysipelas of the leg were recruited. Results: In this study, 562 patients were recruited, having a mean age of 43.7±16.9 years and a sex-ratio (M/F) of 0.67. Patients infected on one leg were 562 while those infected with two were 27. Bullous forms of the disease were observed in 95 patients, while purpuric forms were observed in 167 patients. The existence of a point of entry (485 cases), obesity (230), lymph edema (130) and the use of bleaching agents (97) were the mains risk factors. Complications during the course of the infection such as necrotizing fasciitis (34 cases) and abscesses (63 cases) were observed. They were due to the use of antibiotics and non-steroidal anti-inflammatory treatments, and the use of cataplasm. Conclusion: This study reveals that existence of a point of entry, obesity and lymph edema, and the use of bleaching agents were the mains risk factors influencing the local complications of erysipelas of the leg. Necrotizing fasciitis and abscesses were influenced by the use of antibiotics and non-steroidal anti-inflammatory treatments, and the use of cataplasm.

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“…The purpose of hospitalisation should also be the detection of complications. The most severe complications of SSTI are sepsis, meningitis, toxic shock syndrome, encephalitis, cavernous sinus thrombosis, necrotizing fasciitis and septic arthritis; the most common are recurrent infections, hemorrhagic, bullous, cutaneous abscesses and local necrotising lesions [4,5,9,11,24]. The detection of complications influences further management.…”

Section: Discussionmentioning

confidence: 99%

“…Specifically, in bullous erysipelas, S. aureus was reported in 50% of cases [7]. Unusual infectious agents particularly affect people with chronic diseases, especially immunocompromised patients [4][5][6][8][9][10][11]. Neutropenia is usually associated with mucosal or skin barrier disruption, and the indigenous colonizing pathogens are responsible for most infections.…”

Section: Introductionmentioning

confidence: 99%