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erysipelasenUK Note: This page may contain terms or definitions that are offensive or inappropriate for some readers.er·y·sip·e·las E0204600 (ĕr′ĭ-sĭp′ə-ləs, îr′-)n.1. An acute bacterial infection of the skin and superficial lymphatic vessels, caused by streptococci and marked by localized inflammation and fever. Also called Saint Anthony's fire.2. Infection of pigs, sheep, turkeys, or other animals with the bacterium Erysipelothrix rhusiopathiae, characterized by symptoms such as skin lesions and arthritis in mammals and septicemia in fowl. Humans who become infected with the bacterium from handling infected animals or animal products can develop erysipeloid. [Middle English erisipila, from Latin erysipelas, from Greek erusipelas : erusi-, red; see reudh- in Indo-European roots + -pelas, skin; see pel- in Indo-European roots.] er′y·si·pel′a·tous (-sĭ-pĕl′ə-təs) adj.erysipelas (ˌɛrɪˈsɪpɪləs) n (Pathology) an acute streptococcal infectious disease of the skin, characterized by fever, headache, vomiting, and purplish raised lesions, esp on the face. Also called: Saint Anthony's fire [C16: from Latin, from Greek erusipelas, from Greek erusi- red + -pelas skin] erysipelatous adjer•y•sip•e•las (ˌɛr əˈsɪp ə ləs, ˌɪər ə-) n. a deep-red rash of the skin and mucous membranes accompanied by fever and pain, caused by any of a group of hemolytic streptococci. [1350–1400; Middle English erisipila < Latin erysipelas < Greek erysípelas] er`y•si•pel′a•tous (-sɪˈpɛl ə təs) adj. erysipelasan infectious disease of the skin marked by inflammation and accompanied by fever.See also: Disease and IllnessThesaurusNoun | 1. | erysipelas - an acute streptococcal infection characterized by deep-red inflammation of the skin and mucous membranesSaint Anthony's fire - any of several inflammatory or gangrenous skin conditions | TranslationsερυσίπελαςerisipelaerisipelaрожаerysipelasenUK Note: This page may contain terms or definitions that are offensive or inappropriate for some readers.erysipelas (ĕrəsĭp`ələs), acute infection of the skin characterized by a sharply demarcated, shiny red swelling, accompanied by high fever and a feeling of general illness. The causative agent is the hemolytic streptococcus, which often enters the body through a break in the skin. Erysipelas affects the skin of the face so frequently that when it strikes other parts of the body, it may often be misdiagnosed. Bacteremia (blood poisoning) and pneumonia are the most common complications. Erysipelas is a highly contagious disease that was formerly dangerous to life; however, it can now be quickly controlled by antibiotic therapy.Erysipelas an infectious disease caused by hemolytic streptococci and characterized by the development of acute inflammatory changes in the skin and cutaneous mucosa and lymphatic vessels. The disease is related to both the invasion of the causative agent and individual predisposition, or allergy, to hemolytic streptococci. There are two types of erysipelas: primary and secondary. In primary erysipelas infection occurs as a result of the invasion of a streptococcus into a microtrauma, scratch, or abrasion; in secondary erysipelas infection develops as a complication of a local purulent process, such as a furuncle or infected wound. Erysipelatous inflammation is marked by the local serous edema of the tissues with the accompanying enlargement of the capillary lattice and congestion in the capillaries; this condition, known as the erythematous form of erysipelas, causes the skin to swell and redden. The accumulation of a large quantity of edematous fluid may cause the external layer of the skin to exfoliate, leading to the formation of bullas; this is the bullous form of erysipelas. Suppuration of the bullous areas of the skin results in the development of phlegmonous erysipelas. The development of the necrosis of tissue in weakened diseased individuals results in gangrenous, or necrotic, erysipelas. The general symptoms of erysipelas are a sudden rise in body temperature to 40°–41°C, chills, weakness, headache, and vomiting. With excessive intoxication, consciousness may be impaired. Sections of edematous and reddened skin with distinct and irregularly shaped boundaries are found predominantly on the face or lower extremities and cause a burning and bulging pain. Adjacent lymph nodes become enlarged and painful. The disease lasts one to two weeks, after which the body temperature rapidly returns to normal and the general condition of the individual improves. The edema and the skin reddening disappear more slowly. Frequently relapses occur, leading to chronic changes in tissues and functional disturbances. Severe complications of erysipelas include the spread of the infectious process from the skin to adjacent tissues and the transfer of the causative agent by way of the blood to other organs and tissues, resulting in the development of a general infection. Treatment is usually conducted in a hospital and includes the use of local physiotherapeutic procedures, the administration of antibiotics and sulfanilamide preparations, and the observance of a bed regimen and rest for the affected extremities. Preventive measures include the early and comprehensive treatment of microtraumas, abrasions, and excoriations. REFERENCEGal’perin, E. A., and R. R. Ryskind. Rozha. Moscow, 1966. (Bibliography.)V. F. POZHARISKII erysipelas[‚er·ə′sip·ə·ləs] (medicine) An acute, infectious bacterial disease caused by Streptococcus pyogenes and characterized by inflammation of the skin and subcutaneous tissues. erysipelas an acute streptococcal infectious disease of the skin, characterized by fever, headache, vomiting, and purplish raised lesions, esp on the face erysipelasenUK Note: This page may contain terms or definitions that are offensive or inappropriate for some readers.Erysipelas DefinitionErysipelas is a skin infection that often follows strep throat.DescriptionErysipelas, also called St. Anthony's fire, is caused by infection by Group A Streptococci. This same type of bacteria is responsible for such infections as strep throat, and infections of both surgical and other kinds of wounds in the skin. The infection occurs most often in young infants and the elderly.Causes and symptomsErysipelas usually occurs rather abruptly. When the preceding infection was strep throat, the rash begins on the face. Occasionally, when the preceding infection was of a wound from an injury or operation, the rash will appear on an arm or leg.Classically, the usual presentation is a bright-red, butterfly-shaped rash appearing across the bridge of the nose and the cheeks. It is hot to the touch, painful, shiny, and swollen, with clearly defined margins. The edges of the rash are a raised ridge, hard to the touch. There may be fluid-filled bumps scattered along the area. The rash spreads rapidly. Some patients have swelling of the eyelids, sometimes so severe that their eyes swell shut. The patient may have fever, chills, loss of energy, nausea and vomiting, and swollen, tender lymph nodes. In severe cases, walled-off areas of pus (abscesses) may develop beneath the skin. If left untreated, the streptococcal bacteria may begin circulating in the bloodstream (a condition called bacteremia). A patient may then develop an overwhelming, systemic infection called sepsis, with a high risk of death.DiagnosisThe rash of erysipelas is very characteristic, raising the practitioner's suspicion towards that diagnosis, especially when coupled with a history of recent strep infection. Attempts to culture (grow) the bacteria from a sample of the rash usually fail. When the bacteria are present in the blood, they may be grown in a laboratory, and identified under a microscope. Other laboratory tests involve reacting fluorescently-tagged antibodies with a sample of the patient's infected tissue. This type of test may be successful in positively identifying the streptococcal bacteria.TreatmentPenicillin is the drug of choice for treating erysipelas. It can usually be given by mouth, although in severe cases (or in cases of diagnosed bacteremia) it may be given through a needle placed in a vein (intravenously).Even with antibiotic treatment, swelling may continue to spread. Other symptoms, such as fever, pain, and redness, usually decrease rapidly after penicillin is started. Cold packs and pain relievers may help decrease discomfort. Within about five to 10 days, the affected skin may begin drying up and flaking off.PrognosisWith prompt treatment, the prognosis from erysipelas is excellent. Delay of treatment, however, increases the chance for bacteremia and the potential for death from overwhelming sepsis. This is particularly true of people with weakened immune systems (babies, the elderly, and people ill with other diseases, especially Acquired Immunodeficiency Syndrome, or AIDS). Frequently, an individual who has had erysipelas will have it occur again in the same location.PreventionPrevention involves appropriate and complete treatment of streptococcal infections, including strep throat and wound infections.ResourcesPeriodicalsHuerter, Christopher, et al. "Helpful Clues to Common Rashes." Patient Care 31, no. 8 (April 30, 1997): 9 +.Key termsBacteremia — The presence of bacteria in the blood.Streptococcus — A bacteria that causes erysipelas and strep throat, as well as other infections.erysipelas [er″ĭ-sip´ĕ-las] a febrile disease characterized by inflammation and redness of the skin and subcutaneous tissues, and due to Group A hemolytic streptococci; it is a form of cellulitis. The visible symptoms are round or oval patches on the skin that promptly enlarge and spread, becoming swollen, tender, and red. The affected skin is hot to the touch, and, occasionally, the adjacent skin blisters. Headache, vomiting, fever, and sometimes complete prostration can occur. Penicillin is the treatment of choice. Care must be taken to avoid spreading the disease to other areas of the body. Adj., adj erysipel´atous.coast erysipelas a cutaneous manifestation of onchocerciasis seen in Central America, so called because of its resemblance to streptococcal erysipelas.swine erysipelas a contagious and highly fatal disease of pigs, caused by Erysipelothrix rhusiopathiae.er·y·sip·e·las (er'i-sip'ĕ-lăs), Do not confuse this word with syphilis.A specific, acute, superficial cutaneous cellulitis caused by β-hemolytic streptococci and characterized by hot, red, edematous, brawny, and sharply defined eruptions; usually accompanied by severe constitutional symptoms. [G., fr. erythros, red + pella, skin] erysipelas (ĕr′ĭ-sĭp′ə-ləs, îr′-)n.1. An acute bacterial infection of the skin and superficial lymphatic vessels, caused by streptococci and marked by localized inflammation and fever. Also called Saint Anthony's fire.2. Infection of pigs, sheep, turkeys, or other animals with the bacterium Erysipelothrix rhusiopathiae, characterized by symptoms such as skin lesions and arthritis in mammals and septicemia in fowl. Humans who become infected with the bacterium from handling infected animals or animal products can develop erysipeloid. er′y·si·pel′a·tous (-sĭ-pĕl′ə-təs) adj.erysipelas Cellulitis, St Anthony's fire Infectious disease A superficial infection of the very old or very young, caused by β-hemolytic group A streptococci, group C streptococci, staphylococci, pneumococci Clinical Abrupt fever, malaise, vomiting, skin lesions with cellulitis, brawny induration, geographic discoloration, butterfly rash on face with minimal necrosis Lab ↑ ESR, ↑ WBCs Management Rest, hot packs, penicilliner·y·sip·e·las (er'i-sip'ĕ-lăs) A specific, acute, cutaneous inflammatory disease caused by β-hemolytic streptococci and characterized by hot, red, edematous, brawny, and sharply defined eruptions; usually accompanied by severe constitutional symptoms. [G., fr. erythros, red + pella, skin]erysipelas (er?i-sip'e-las) [Gr. erythros, red, + pella, skin] ERYSIPELASAn infection of the skin (usually caused by group A streptococci) that is marked by a bright red, swollen, sharply defined rash (that stings or itches) on the face, scalp, arms, legs, or trunk. Systemic symptoms such as fevers, chills, sweats, or vomiting may occur; local tissue swelling and tenderness and blistering of the rash are common. A toxin released into the skin by Streptococcus pyogenes creates many of the signs and symptoms of the infection. Erysipelas occurs primarily in children, adults over age 60, people with immunocompromising illnesses, and individuals with prior lymphatic or venous obstruction or surgery. See: illustration; cellulitisTreatmentOral or IV penicillins or erythromycin, or first-generation cephalosporins, vancomycin, or clindamycin may effectively eradicate the responsible bacteria. Analgesic and antipyretic drugs, such as acetaminophen or ibuprofen, cold packs and topical anesthetics, and elevation of the affected area provide comfort. Standard and barrier precautions are employed. PrognosisThe prognosis is excellent with treatment. Without treatment, the infection may spread, or cause nephritis, abscesses, septicemia and death. Patient carePatients and family members are taught to use thorough handwashing before and after touching the affected area to prevent the spread of infection and how to safely clean or dispose of drainage-contaminated articles. The application of cool compresses and elevating the affected parts may reduce discomfort. erysipelas A form of CELLULITIS from infection of the skin with streptococcal organisms. There are large, raised inflamed areas, high fever and severe illness from toxicity. The lymph nodes in the area are enlarged and tender. Treatment is with antibiotics.er·y·sip·e·las (er'i-sip'ĕ-lăs) A specific, acute, cutaneous inflammatory disease caused by β-hemolytic streptococci and characterized by hot, red, edematous, brawny, and sharply defined eruptions. [G., fr. erythros, red + pella, skin]erysipelasenUK
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