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Erysipelas (/ ˌ ɛ r ə ˈ s ɪ p ə l ə s /) is a relatively common bacterial infection of the superficial layer of the skin (upper dermis), extending to the superficial lymphatic vessels within the skin, characterized by a raised, well-defined, tender, bright red rash, typically on the face or legs, but which can occur anywhere on the skin.
Erysipelothrix rhusiopathiae is a Gram-positive, catalase-negative, rod-shaped, non-spore-forming, nonacid-fast, nonmotile bacterium.Distributed worldwide, E. rhusiopathiae is primarily considered an animal pathogen, causing the disease known as erysipelas that may affect a wide range of animals.
The treatment of choice is a single dose of benzathine benzylpenicillin given by intramuscular injection, or a five-day to one-week course of either oral penicillin or intramuscular procaine benzylpenicillin. [9] Erythromycin or doxycycline may be given instead to people who are allergic to penicillin.
While classically distinguished as a separate entity from erysipelas by spreading more deeply to involve the subcutaneous tissues, many clinicians may classify erysipelas as cellulitis. Both are often treated similarly, but cellulitis associated with furuncles , carbuncles , or abscesses is usually caused by S. aureus , which may affect ...
The best-known species within the genus is Erysipelothrix rhusiopathiae, which is the cause of erysipelas of domestic pigs, poultry and other animal species. In humans, E. rhusiopathiae infections are termed erysipeloid.
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AA’s meetings, with their folding chairs and donated coffee, were intended as a judgment-free space for addicts to talk about their problems. Treatment facilities were designed for discipline. Something else has been lost with the institutionalization of the 12 steps over the years: Bill Wilson’s openness to medical intervention.
Flucloxacillin is used for both staphylococcal and streptococcal skin infections. [12] These include folliculitis, carbuncles, [13] impetigo, ecthyma, cellulitis, erysipelas, necrotising fasciitis, and infections of skin conditions such as eczema, scabies, ulcers and acne.