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[Erysipelas: evolution under treatment, complications].

B Crickx1

  • 1Service de Dermatologie, Groupe Hospitalier Bichat-Claude-Bernard, Assistance Publique, Hôpitaux de Paris, Paris, France.

Annales De Dermatologie Et De Venereologie
|April 25, 2001
PubMed
Summary

Systemic antibiotherapy is effective for lower limb erysipelas, with most patients recovering within days. However, complications and relapses are common, particularly in older patients or those with underlying conditions.

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Public Health

Background:

  • Erysipelas is a bacterial infection affecting the skin, commonly occurring in the lower limbs.
  • Understanding the evolution and complications of erysipelas under antibiotic treatment is crucial for effective patient management.

Framework:

  • This study systematically reviewed literature from the past 20 years focusing on lower limb erysipelas.
  • Key parameters analyzed included treatment efficacy, recovery time, complications, prognostic factors, and mortality rates.

Implementation:

  • Data primarily from hospitalized patients revealed systemic antibiotherapy efficacy rates of 76-84%.
  • Favorable outcomes included rapid fever reduction (24-48h) and symptom regression (4-6 days).
  • Factors influencing longer hospital stays were advanced age, comorbidities, delayed admission, and leg ulcers.

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Implications:

  • Despite favorable outcomes, high relapse rates (15-25%) necessitate preventive strategies.
  • Focusing on local predisposing factors is essential for managing recurrent erysipelas.
  • Further research on outpatient management is needed for comprehensive conclusions.