Erysipelas is an infectious-allergic disease that spreads to the subcutaneous tissue. Inflammation develops with the introduction of group A streptococcal flora. Often after treatment, a relapse of erysipelas occurs - repeated symptoms appear within six months, in 10 cases out of 100 it ends with elephantiasis (pathology of the lymphatic system). It is impossible to cure erysipelas without antibiotics. These drugs are needed to stop the vital activity of streptococcal flora.

The affected areas are red or purple in color and are separated from the surrounding tissue by a convex ridge. Every day, the area of ​​inflammation increases to 2-2.5 cm. Itching and burning of the skin is accompanied by increased temperature, fever, nausea, turning into vomiting, muscle and joint pain. Most often, erysipelas is localized in the lower leg area, the provoking factor is varicose veins and its complication - thrombophlebitis.

What drugs help to quickly stop the activity of pathogenic microorganisms?

List of antibiotics for erysipelas

Treatment of erysipelas is carried out using the following drugs:

The course of treatment, dosage and frequency of administration depend on the severity of the disease, the age and weight of the patient, the chosen drug, as well as on the concomitant medical history.

Treatment of erysipelas on the leg with antibiotics is not available to everyone. Patients with a polyvalent allergy to antibacterial agents to destroy streptococci are prescribed the following therapeutic regimen: complex treatment "Furazolidone"(a drug from the nitrofufan group with pronounced antimicrobial activity) and "Delagil"(a medicine used to treat malaria, with the active ingredient chloroquine).

Antibacterial therapy of erysipelas in a hospital

Hospitalization in a hospital is necessary if relapses of erysipelas occur every 2-3 months, the disease is severe, and the patient has a history of diseases for which using antibiotics at home is extremely dangerous - if side effects occur "ambulance" you can't wait. Inpatient treatment is recommended for patients under 3 years of age and those who are elderly. Patients are hospitalized in infectious diseases departments.

If at home antibiotics are taken in tablets, then in the hospital for the treatment of erysipelas they use the form of injections:

In case of severe inflammatory process, therapeutic measures are supplemented - at home and in hospital - with anti-inflammatory drugs - "Butadion" or "Chlotazol". The course of treatment is up to 2 weeks. Immunomodulators and vitamin complexes must be prescribed - they should be taken after the general symptoms have been eliminated for another month.

In severe cases of the disease, severe swelling of the legs - in order to prevent the development of lymphostasis - intravenous detoxification is carried out. In this case, infusion treatment is necessary: "Reopoliglyukin", "Hemodez", solutions: 5% glucose and physiological. Sometimes added to the dropper "Prednisolone".

It is customary to adhere to the following daily doses of antibacterial drugs:

• "Oletetrin"– 1 g/day;
• "Azithromycin" or "Erythromycin"– 2 g/day;
• metacycline hydrochloride – 1 g/day.

For recurrent erysipelas, antibiotics are administered only intramuscularly - cephalosporins ( "Claforan", "Cefazolin"), "Lincomycin"– up to 2 times a day.

To treat recurrent erysipelas, patients are hospitalized in a hospital. Antibiotics are prescribed that were not used in the original therapeutic regimen. In this case, the drugs are no longer prescribed in tablets, but only in injections - intramuscularly.

• week – 10 days – cephalosporins;
• week break;
• a week - "Lincomycin".

Additionally, diuretics and cytostatics are prescribed.

To eliminate skin inflammatory processes, topical agents are used. Treatment is symptomatic; ointments with antibacterial components are not used.

It is necessary to begin therapeutic measures when the first signs of the disease appear. If erysipelas occurs in a mild form, then the symptoms of the disease subside within 3 days and no changes remain on the skin of the legs. In severe cases of erysipelas, there is a high probability of developing complications - gangrene, sepsis, streptococcal pneumonia. The mortality rate from this disease currently remains at 5%.

Swelling of the legs, redness of the skin and pain to the touch - if these symptoms appear, you should consult a doctor. No home methods will stop the development of the inflammatory process.

The disease, which occurs quickly, has serious consequences if measures are not taken in time. It is worth treating the lesion on the skin immediately, noting the first signs of the onset of the disease.

Symptoms of the initial stage may not appear on the skin. When the symptoms affect the skin, the disease will have to be treated with methods that involve the use of antibacterial tablets. To avoid taking potent drugs, you need to stop the disease at the initial stage. The use of folk remedies will help relieve irritation.

What is erysipelas of the leg?

Erysipelas (“erysipelas”) affects the skin on the leg. The disease is classified as infectious. The disease is caused by hemolytic streptococcus, classified as group A. A person faced with a skin disease goes through infection of the skin cells and the appearance of foci of inflammation on the skin of the leg.

It is believed that there is a genetic predisposition to foot skin disease caused by infection.

1. Among the reasons leading to the appearance of erysipelas symptoms, may be an allergy to streptococcal infection.
2. Reduced immunity and an unstable emotional state can be considered contributing factors in the development of erysipelas.

Causes associated with a violation of the skin of the leg can lead to the identification of symptoms of the disease:

• skin trauma (bruise, cut,);
• insect bite that carries streptococcus.

The consequence of hypothermia or overheating of the body can be erysipelas that affects the leg.

In children, erysipelas can begin as a complication of chickenpox.
The disease is infectious in nature, it is contagious. The consequence of contact of damaged areas of the skin with a pathogen, cover already affected by streptococcus, can be damage to the leg by erysipelas.

Erysipelas of the leg: symptoms

The doctor knows that erysipelas of the leg at the initial stage characterized by such signs:

• temperature rise, possible rise to 40;
• headache;
• muscle aches;
• weakness;
• nausea or vomiting;
• fever accompanied by delirium;
• muscle spasms.

Signs of the initial period are observed from a couple of hours to three days.

After the initial symptoms appear symptoms of the disease:

• burns the skin;
• a feeling of fullness in the leg in the place where the inflammation began;
• red or burgundy tint of inflamed skin;
• the form of inflammation on the skin is similar to the red flame of fire;
• the skin lesion bulges, presenting a red inflammatory shaft;
• feelings of increased skin temperature at the site of erysipelas;
• edema;
• bubble formation;
• the attenuation of inflammation can occur through peeling of the skin.

So, what does a erysipelas on a leg look like? photo initial stage:

Complications

If the disease has reached a severe stage, treatment does not bring recovery, the skin may blister. Blisters may contain serous and hemorrhagic substances. The disease can cause peeling of the outer layer of the skin. The purulent consequences of erysipelas are difficult to cure.

The consequences of the disease can lead to complications. Problems with the circulation of lymph in the legs, leading to swelling, are a serious complication of erysipelas.

A dangerous complication of untimely or incorrect treatment can be the formation of blood clots.

Complications in the form of ulcerative skin lesions, necrosis of skin cells can overtake a patient with erysipelas of the leg.

If the treatment is chosen incorrectly, you may encounter kidney disease as a complication of the disease.

Erysipelas can have complications on the functioning of the heart.

How to treat erysipelas of the leg?

Methods that can treat skin inflammation are associated with antibacterial drugs, anti-inflammatory drugs, and folk remedies.

The medicinal method involves the use of antibiotics and tablets that will help relieve inflammation. The disease can be treated with allergy medications if the disease has become chronic.

At the initial stage, treatment using folk remedies is possible.

If stress is the cause of the disease, relaxation methods should be included in the complex therapy of the disease. Among folk remedies you can choose those that will help relieve tension and calm emotions (motherwort, hawthorn, valerian).
The methods are used at home.

Treatment at home

The area affected by erysipelas should not be wetted. At home, you need to ensure that the inflamed skin is kept dry.

• Skin irritation that occurs with erysipelas of the leg can be relieved by drinking a large volume of liquid. Water removes harmful substances from the body, preventing infections from multiplying.
• At home, you can treat erysipelas occurring on the leg, in the initial stage or at the stage when the inflammatory process decreases, with a furatsilin solution.
• The appearance of blisters can be treated at home if the method is careful and sterile. The blisters are cut and the inside of the bubble is brought out. After completing the procedure, you need to apply gauze treated with a special ointment to the skin lesion.
• Erysipelas of the leg, treatment at home for which is prescribed step by step by a doctor, can be treated with antibiotics if the likelihood of complications of the disease increases.

The disease can be cured using folk remedies. A disease that has led to skin irritation can be treated comprehensively, combining folk remedies and medications.

At home you can use tinctures:

• eucalyptus;
• chagi;
• valerian.

There is an unusual folk method to treat the disease:

1. spray chalk on the red area of ​​the skin suffering from infection;
2. tie with red cloth;
3. Do not remove the bandage during the day.

Advice from healers to use a folk remedy to combat erysipelas an hour before sunrise. The procedure should cure erysipelas within a week.

Treatment in children is complicated by restrictions on medications. Treatment should be carried out at the first signs at the initial stage of skin irritation. The use of antibiotics in children is highly undesirable.

Traditional recipes for erysipelas

Inflammation that affects the skin of the legs can be treated using traditional medicine. Erysipelas can be cured by using the product externally or internally.

Treatment of erysipelas of the leg with folk remedies should be done at the initial stage of the disease, when there is no need to take antibacterial drugs.

1. An effective method to relieve inflammation among folk remedies is a compress of raw potatoes, grated, or cabbage leaves. It is better to do this folk remedy at night.
2. Treatment of erysipelas is carried out with various bandages soaked in pre-prepared decoctions according to folk recipes.
3. Erysipelas can be treated by applying a bandage with juniper decoction (boil 2 tablespoons of raw material in 0.5 liters of boiling water for several minutes, leave to infuse). The folk remedy is applied four times a day.
4. A decoction of herbal tea (plantain, chamomile, sage, St. John's wort) is effective in the treatment of erysipelas. At home, you need to apply a bandage soaked in the infusion and wrap it with a bandage with saline solution on top. A salty folk remedy can be made at the rate of a teaspoon per glass of water. Treat with the method four times a day, one of which is carried out before night.
5. By combining crushed chamomile (flowers), coltsfoot, and honey, you will get an excellent medicine at home to relieve inflammation of the skin during erysipelas. Treat one teaspoon at a time, take three times a day.
6. There is an opinion that drinking holy water helps treat erysipelas of the skin of the leg.
7. The infusion obtained according to a folk recipe can be used internally and as a dressing. You can get a folk remedy by combining in equal dosage the rhizomes of licorice, marsh calamus, burnet, cudweed, yarrow, nettle leaf, and eucalyptus. At home, infuse a tablespoon of the dry mixture into a glass of boiled liquid. The folk remedy will be beneficial if taken 50 g four times a day. At the same time, apply a bandage with the infusion to the area of ​​skin covered with red inflammation.

Folk remedies can cause allergies. The use of folk remedies should be discussed with your doctor. Not all folk remedies are suitable for treating skin ailments. A doctor or personal experience can choose a folk remedy that will help cure the disease.

Pharmacy products

It is impossible to treat erysipelas that has reached the stage of redness of the skin with ointment. If the skin becomes red and the spot spreads along the leg, you need to consult a doctor or, if the inflammation occurs again, use previously used medications.

To treat the disease, you can use ointments for erysipelas of the leg. Ointment is considered an effective remedy Dermo-Naft. Naftalan ointment is used in the treatment of skin lesions due to infections or injuries.

Ointment Iruksol has antimicrobial properties, fights purulent discharge and dead cells.

Before using the ointment, you need to discuss the consequences with your doctor. Application ointments Vishnevsky, Liniment may lead to complications instead of curing the disease. Ointments will help with the initial symptoms of the disease. Inflamed skin must be kept dry and the skin must breathe.

The ointment can soften the skin and block access to air, which will prevent the disease from being treated correctly. It is not possible to remove the red tint of erysipelas with ointment; antibacterial tablets will help cure the disease.

During the treatment of erysipelas, they are prescribed antibacterial drugs that will help remove the red tint from the skin, destroying the infection:

• Tetracycline;
• Penicillin;
• Erythromycin;
• Oleandomycin;
• Olethetrin;
• Bicillin-5.

Repeated inflammation can be treated with tablets:

• Methicillin;
• Tseporin;
• Ampicillin;
• Oxacillin.

The antibiotic treatment method is applied within a week. If the period of taking antibacterial tablets has reached the 10th day, tablets against inflammation or allergies may be prescribed instead of antibacterial agents.

If the process of inflammation begins again after a course of treatment for erysipelas, hormonal pills (Prednisolone) can help cure the disease.

In children, pain relief when it is necessary to treat erysipelas is carried out with the following drugs:

• Acetaminophen (paracetamol);
• Ibuprofen.

The use of antibiotics in children, when the goal is to treat a skin disease, is limited to a group of oral drugs.

Is erysipelas of the leg contagious or not?

The skin disease is contagious. The cause of inflammation is an infection represented by streptococcus. At any stage, an infectious disease is contagious.

The infection is transmitted by contact with the skin where the infection has begun: if a person has damaged skin, then erysipelas is contagious for him.

If you are in doubt whether a disease is contagious, you should think about the consequences and possible complications. To remove doubts, it is worth imagining how difficult it is to treat an infectious skin disease. Instead of then taking a long and difficult time to treat the disease, it is better to limit communication with the carrier of the infection until the patient can cure the disease.

Symptoms of the initial stage are invisible on the skin; the infection can be transmitted through wounds when a person does not suspect that he is in contact with an infected person. Monitoring the integrity of your own skin will help you avoid infection.

Prevention

Having calculated the causes and pathogens of the disease, you should try to avoid them. If inflammation begins after an insect bite, you need to use repellents. Erysipelas occurred after an injury, you need to protect your leg from possible wounds and burns.

Given the fact that the disease is infectious, the disease is contagious. The presence of a predisposition to the disease, an allergy to an infectious pathogen, or skin damage should cause concern when in contact with a person whose skin is affected by erysipelas.

Living next to an infected person leads to the need to limit communication. The disease in children may be more severe due to the fact that it is more difficult for them to control themselves when they want to scratch the skin. To avoid skin lesions in children, you need to separate them from the sick person and ensure that there are no wounds on the skin through which infection can enter.

When faced with inflammation on the leg, the next time a person notices the signs of the disease, he should turn to treatment methods in advance in order to avoid serious consequences and complications.

If the cause of the disease lies in an unstable emotional state, if the first signs of a psychological disorder appear, it is worth taking measures to relieve tension.

The use of folk remedies for calming will help cope with anxiety and feelings of irritation. A healthy lifestyle and a healthy diet will help improve the health of the body, increase strength and good spirits.

Erysipelas is a skin disease, how to cure erysipelas infection

Erysipelas (Red Skin) Red skin, red spot on leg or face

Erysipelas or Erysipelas is a soft tissue infection caused by streptococci Streptococcus pyogenes ).Erysipelas is also known as St. Anthony's lights, the disease begins with a skin rash. Erysipelas is an infectious disease of streptococcal origin, so the immune system practically does not recognize it. Infection usually occurs through damage to the skin (scratches, abrasions), rarely through mucous membranes.

The onset of the disease is acute, with gradually increasing symptoms of intoxication: headache, weakness, nausea, vomiting. At the site of infection, the development of the inflammatory process begins - redness of the skin, swelling, and pinpoint hemorrhages appear. The most common localization is on the legs and face. Erysipelas infection penetrates through damaged skin of the feet, ulcers, trophic disorders due to venous insufficiency and superficial wounds.

The lesion affected by erysipelas is a tense plaque with clear edges, which increases by 2-10 cm per day.

The causative agent is streptococcus erysipelas ( Streptococci "(Streptococcus)" are bacteria that are commonly found harming life in the human respiratory tract, intestinal and genitourinary systems. Some species can cause diseases in humans, including skin diseases. ), is stable outside the human body, tolerates drying and low temperatures well, and dies when heated to 56°C for 30 minutes. The source of the disease is the patient and the carrier. Contagiousness (infectiousness) is insignificant. The disease is recorded in isolated cases.

Diagnosis of Erysipelas

Erysipelas is diagnosed mainly by the appearance of a rash. Blood tests and skin biopsies are usually not helpful in making a diagnosis. In the past, saline solution was injected into the edge of the inflammation, atmospheric back, and the tank was inoculated. This diagnostic method is no longer used because bacteria are not detected in most cases. If there are symptoms such as fever, fatigue, then they take blood for analysis and do a culture to rule out sepsis.

Local symptoms Erysipelas are: burning pain and a feeling of heat in the affected area, the appearance of a bright red with sharp jagged border, which looks like a “map”. Inflammation of the skin in the area of ​​​​swelling, the temperature rises, the pain is localized along the periphery of the lesion, the reddened area slightly rises above the level of healthy skin, and quickly increases. The described symptoms are characteristic of the erythematous form of erysipelas. In the bullous form, as a result of separation of the epidermis by exudate, blisters of different sizes are formed. The contents of the blisters, rich in streptococci, are very dangerous because the infection is transmitted by contact. The exudate is also purulent and bloody.

Infection occurs mainly when the integrity of the skin is damaged by contaminated objects, tools or hands.

According to the nature of the lesion, they are distinguished:
- erythematous form in the form of redness and swelling of the skin;
- hemorrhagic form with phenomena of permeability of blood vessels and their bleeding;
- bullous form with blisters on inflamed skin filled with serous exudate.

According to the degree of intoxication, they are classified as mild, moderate, and severe. By frequency - primary, recurrent, repeated.

According to the prevalence of local manifestations - localized (nose, face, head, back, etc.), wandering (moving from one place to another) and metastatic.

Symptoms and course. The incubation period is from 3 to 5 days. The onset of the disease is acute, sudden. On the first day, symptoms of general intoxication are more pronounced (severe headache, chills, general weakness, possible nausea, vomiting, fever up to 39-40°C).

Erythematous form. After 6-12 hours from the onset of the disease, a burning sensation, bursting pain appears, and redness (erythema) and swelling at the site of inflammation appear on the skin. The area affected by erysipelas is clearly separated from the healthy area by a raised, sharply painful ridge. The skin in the area of ​​the outbreak is hot to the touch and tense. If there are pinpoint hemorrhages, then they speak of an erythematous-hemorrhagic form of erysipelas. With bullous erysipelas, against the background of erythema, at various times after its appearance, bullous elements are formed - blisters containing a light and transparent liquid. Later they fall off, forming dense brown crusts that are rejected after 2-3 weeks. Erosion and trophic ulcers may form in place of the blisters. All forms of erysipelas are accompanied by damage to the lymphatic system - lymphadenitis, lymphangitis.

Primary erysipelas is often localized on the face, recurrent - on the lower extremities.

There are early relapses (up to 6 months) and late relapses (over 6 months). Their development is facilitated by concomitant diseases. Of greatest importance are chronic inflammatory foci, diseases of the lymphatic and blood vessels of the lower extremities (phlebitis, thrombophlebitis, varicose veins); diseases with a pronounced allergic component (bronchial asthma, allergic rhinitis), skin diseases (mycoses, peripheral ulcers). Relapses also occur as a result of unfavorable professional factors.

Duration of the disease: local manifestations of erythematous erysipelas disappear by 5-8 days of illness; in other forms they can last more than 10-14 days. Residual manifestations of erysipelas - pigmentation, peeling, pasty skin, the presence of dry dense crusts in place of bullous elements. Lymphostasis may develop, leading to elephantiasis of the extremities.

Brief historical information about erysipelas

Erysipelas has been known since ancient times. In the works of ancient authors it is described under the name erysipelas (Greek erythros - red + Latin pellis - skin). The works of Hippocrates, Celsius, Galen, Abu Ali Ibn Sina are devoted to the clinical issues, differential diagnosis and treatment of erysipelas. In the second half of the 19th century, N.I. Pirogov and I. Semmelweis described outbreaks of erysipelas in surgical hospitals and maternity hospitals, considering the disease to be highly contagious. In 1882, I. Feleisen first obtained a pure culture of streptococcus from a patient with erysipelas. As a result of the subsequent study of epidemiological features and pathogenetic mechanisms, the success of chemotherapy for erysipelas with sulfonamides and antibiotics, ideas about the disease changed, and it began to be classified as a sporadic low-contagious infection. A great contribution to the study of the problems of erysipelas in Soviet times was made by E.A. Galperin and V.L. Cherkasov.

Treatment of erysipelas with antibiotics

The most effective remedy for erysipelas is penicillin in regular dosages for 5-7 days. After starting treatment with penicillin, improvement occurs quickly. After a few hours, the body temperature drops, after 2-3 days the border ridge and redness turn pale and disappear.

Treat with penicillin V 500 mg orally four times daily for ≥ 2 weeks. In severe cases, penicillin G. Other names of the drug
BICILLIN Bicillin
WYCILLIN WYCILLIN

Dicloxacillin 1.2 million units IV d 6 h indicated, which may be replaced by oral therapy after 36 to 48 h. dicloxacillin Other drug names
DYCILL DYCILL
DYNAPEN DYNAPEN
PATHOCIL PATHOCI L

Antibiotics from the macrolide group, erythromycin and oleandomycin, are also effective at a dose of 6-2.0 g/day. To potentiate the effect of antibiotic therapy, it is proposed to simultaneously prescribe delagil 0.25 2 times a day for 10 days.
Erythromycin 500 mg orally four times daily for 10 days can be used for staph infections. Erythromycin Other drug names
ERY-TAB ERY-TAB
ERYTHROCIN ERYTHROCIN

penicillin-allergic 500 mg orally four times daily for 10 days can be used in penicillin patients with allergies, however, macrolide resistance in streptococci is increasing. Infections are resistant to these antibiotics, some brand names cloxacillin
nafcillin nafcillin Other names of the medicine
UNIPEN UNIPEN

Antifungal treatment may be required to prevent recurrence.

Among chemotherapeutic agents, combination drugs septrin (biseptol) and its domestic analogue sulfatone (4-6 tablets per day) can be used for up to 7-10 days. To prevent relapses, bicillin is used.
When treating patients with bullous forms of erysipelas, antiseptic agents are also used topically, for example, a solution of furatsilin 1:5000.

Bandages with A.V. balm. Vishnevsky, ichthyol ointment, so popular among the people, in this case are contraindicated for erysipelas, as they increase exudation and slow down the healing process. Immunotherapy for erysipelas has not been developed.
For recurrent erysipelas, in order to increase nonspecific resistance, retabolin intramuscularly 2 times 50 mg every 2-3 weeks, prodimosan is recommended. Oral medications include methyluracil 2-3 g/day, pentoxin 0.8-0.9 g/day, vitamins, restoratives.
For frequent persistent relapses, ceporin, oxacillin, ampicillin and methicillin are recommended. It is advisable to carry out two courses of antibiotic therapy with a change in drugs (intervals between courses are 7-10 days). For frequently recurrent erysipelas, corticosteroids are used in a daily dosage of 30 mg. For persistent infiltration, non-steroidal anti-inflammatory drugs are indicated - chlotazol, butadione, reopirin, etc. It is advisable to prescribe ascorbic acid, rutin, and B vitamins. Autohemotherapy gives good results. In the acute period of the disease, the appointment of ultraviolet irradiation, UHF followed by the use of ozokerite (paraffin) or naphthalan is indicated for the inflammation. Local treatment of uncomplicated erysipelas is carried out only in its bullous form: the bulla is incised at one of the edges and bandages with a solution of rivanol and furatsilin are applied to the site of inflammation. Subsequently, dressings with ectericin, Shostakovsky balm, as well as manganese-vaseline dressings are prescribed.

In an acute process, a good effect was obtained by combining antibacterial therapy with cryotherapy (short-term freezing of the surface layers of the skin with a jet of chloroethylene until whitening).

If treated incorrectly, including the choice of drugs - antibiotics, there is a general intoxication of the body, inflammation of the kidneys and diseases of the cardiovascular system. After suffering from erysipelas, the patient often retains increased sensitivity to the causative agent of the disease and then it becomes chronic. The danger of erysipelas is the high tendency of this disease to be chronic, accompanied by frequent relapses. Without proper treatment, relapses of erysipelas can occur from 1 to 5 times a year. Against the background of relapses, the lymphatic system of the affected part of the body suffers especially. The destruction of lymphatic vessels caused by erysipelas leads to disruption of the outflow of lymph from the affected part of the body and the development of elephantiasis (elephantism) in it. The danger of elephantiasis is that against the background of impaired lymph outflow, various purulent-infectious processes, including erysipelas itself, develop more easily, which leads to irreversible changes in tissues, and the patient himself to permanent disability.

Types of erysipelas

The basis of erysipelas is a violation of the body's immune defense. The attack of streptococci, which causes the development of erysipelas, is directed primarily at the capillary and microvascular beds of the circulatory system. Inflammation of the walls of small vessels leads to disruption of blood flow in the microvasculature, difficulty in supplying tissues with nutrients and oxygen, and disruption of the removal of metabolic products from them. An organ or tissue partially disconnected from the main part of the body in this way becomes easy prey for infection. The disease develops without any barriers and can lead to the most severe consequences for the patient.

There are several clinical forms based on the nature of the lesion:

1) erythematous - manifested by severe extensive redness and swelling of the skin;

2) bullous - blisters filled with liquid form on inflamed areas of the skin;

3) hemorrhagic - the appearance of hemorrhages on the skin in the form of a pinpoint rash, and there may also be a small amount of blood in the contents of the blisters.

According to the process, the following are distinguished:

1) localized form - damage to individual parts of the body (face, back, limbs);

2) widespread - skin lesions can move from one place to another;

3) metastatic - the appearance of inflammatory foci at a distance from each other.

Erysipelas due to diabetes– due to the fact that in diabetes there is death and destruction of small blood vessels, treatment of erysipelas becomes difficult. In the presence of diabetes mellitus, erysipelas most often takes a gangrenous form.

Erysipelas due to thrombophlebitis or varicose veins- the differential diagnosis of acute thrombophlebitis must be carried out with a number of diseases manifested by inflammation of the skin and subcutaneous tissue of the extremities. It is necessary to clearly understand that a pronounced inflammatory reaction with high temperature, general intoxication and high leukocytosis is not typical for thrombophlebitis.
Erysipelas is often mistaken for acute thrombophlebitis. The largest percentage of errors occurs in the erythematous or phlegmonous form of erysipelas, when within a few hours a swelling of the skin and a bright red, sharply painful spot appears, quickly increasing in size. The spot has uneven, sharply limited edges, jagged or in the form of flames, reminiscent of a geographical map. The reddened area protrudes above the level of the surrounding skin, in its area the patient feels a feeling of heat, tension and burning pain
An acute onset with pronounced general symptoms helps to distinguish erysipelas from thrombophlebitis: sudden shaking chills, a sharp and rapid increase in body temperature to 39–40 °C and headache. Moreover, general symptoms often precede skin manifestations.
Upon examination, you can detect the entrance gates of infection (scratches, cracks, ulcerations, fungal infections of the feet). Erysipelas is always accompanied by regional lymphadenitis and, often, lymphangitis.

Postoperative erysipelas occurs after surgery due to the penetration of streptococcus into an open wound. Most often occurs as a result of preliminary irradiation before oncological operations

Recurrent erysipelas a – this is the return of the disease over a period of several days to 2 years with localization of the local inflammatory process in the area of ​​the primary lesion. Recurrences of erysipelas occur in 25-88% of cases. With frequent relapses, the febrile period may be short, and the local reaction may be insignificant.
Recurrent forms of the disease cause significantly impaired lymph circulation, lymphostasis, elephantiasis and hyperkeratosis, mainly of the lower extremities, which is often caused by the presence of trophic ulcers on the skin of the legs, diaper rash, abrasions, abrasions, creating conditions for the emergence of new and revitalization of old foci of the disease.
Repeated erysipelas occurs more than 2 years after the primary disease. The lesions often have a different location. In terms of clinical manifestations and course, recurrent diseases do not differ from primary ones.
Complications. Cellulitis, phlebitis, deep skin necrosis, pneumonia and sepsis are rare. For persistent recurrent forms of erysipelas, continuous (year-round) prophylaxis with bicillin-5 is indicated for 2 years.

Erysipeloid, or pork erysipelas a – a disease that develops in people, manifested by damage to the skin and joints. Microbes penetrate the skin and are localized in the dermis, where a focus of infection is formed. Often the process extends to the bursal-ligamentous apparatus of the interphalangeal joints. Patients develop a state of delayed-type allergy to the pathogen. Serous inflammation occurs in the dermis. Perivascular infiltration of lymphocytes, expansion of blood and lymphatic vessels with an increase in their permeability are observed. In humans, there are 3 forms of pig erysipelas: cutaneous, cutaneous-articular, generalized (septic). The cutaneous form can be limited or widespread. The skin-articular form occurs with symptoms of acute or chronic recurrent arthritis.

Erysipelas, infection, symptoms and treatment of erysipelas

Possible complications of erysipelas are abscess, sepsis, deep vein thrombophlebitis, but complications are rare.

Epidemiology of erysipelas

The reservoir and source of infection is a person with various forms of streptococcal infection (caused by group A streptococci) and a “healthy” bacteria carrier of group A streptococcus.

The mechanism of transmission of infection is aerosol, the main route of infection is airborne droplets, but contact infection is also possible. The entrance gate is various injuries (wounds, diaper rash, cracks) of the skin or mucous membranes of the nose, genitals, etc. Group A streptococci often colonize the surface of the mucous membranes and skin of healthy individuals, so the risk of infection with erysipelas is high, especially with basic untidiness.

Natural sensitivity of people. The occurrence of the disease is probably determined by a genetically determined individual predisposition. Among the patients, women predominate. In persons with chronic tonsillitis and other streptococcal infections, erysipelas occurs 5-6 times more often. Local factors predisposing to the development of erysipelas are chronic diseases of the oral cavity, caries, and diseases of the ENT organs. Erysipelas of the chest and limbs more often occurs with lymphedema, lymphovenous insufficiency, edema of various origins, mycosis of the feet, and trophic disorders. Post-traumatic and postoperative scars predispose to localization of the lesion at its location. Increased susceptibility to erysipelas can be caused by long-term use of steroid hormones.

Basic epidemiological signs. Erysipelas is one of the most common bacterial infections. The disease is not officially registered, so information on incidence is based on sample data.

The infection can develop either exogenously or endogenously. Erysipelas may be the result of lymphogenous introduction of the pathogen from the primary focus in the tonsils or the introduction of streptococcus into the skin. Despite the fairly widespread distribution of the pathogen, the disease is observed only in sporadic cases. Unlike other streptococcal infections, erysipelas does not have a pronounced autumn-winter seasonality. The highest incidence is observed in the second half of summer and early autumn. People from different professions suffer from erysipelas: builders, workers in “hot” shops and people working in cold rooms often suffer; For workers at metallurgical and coke-chemical enterprises, streptococcal infection is becoming an occupational disease.

It should be noted that if in 1972-1982. While the clinical picture of erysipelas was characterized by a predominance of moderate and mild forms, in the next decade there was a significant increase in the proportion of severe forms of the disease with the development of infectious-toxic and hemorrhagic syndromes. Recently (1995-1999), mild forms account for 1%, moderate forms - 81.5%, severe forms - 17.5% of all cases. The proportion of patients with erysipelas with hemorrhagic syndrome reached 90.8%.

When streptococci actively multiply in the dermis, their toxic products (exotoxins, enzymes, cell wall components) penetrate into the bloodstream. Toxinemia causes the development of an infectious-toxic syndrome with high fever, chills and other manifestations of intoxication. At the same time, short-term bacteremia develops, but its role in the pathogenesis of the disease has not been fully elucidated.

A focus of infectious-allergic serous or serous-hemorrhagic inflammation forms in the skin or on the mucous membranes (much less often). A significant role in its development is played by streptococcal pathogenicity factors that have a cytopathic effect: cell wall antigens, toxins and enzymes. Moreover, the structure of some human skin antigens is similar to the A-polysaccharide of streptococci, which leads to the appearance of autoantibodies in patients with erysipelas that enter into autoimmune reactions with skin antigens. Autoimmunopathology increases the level of individual susceptibility of the body to the effects of streptococcal antigens. In addition, immune complexes with pathogen antigens are formed in the dermis and papillary layer. Autoimmune and immune complexes can cause damage to the skin, blood and lymph capillaries, promote the development of intravascular coagulation with disruption of the integrity of the vascular wall, the formation of microthrombi, and the formation of local hemorrhagic syndrome. As a result, hemorrhages or blisters with serous or hemorrhagic contents form in the focus of infectious-allergic inflammation with erythema and edema.

The pathogenesis of erysipelas is based on individual predisposition to the disease. It can be congenital, genetically determined, or acquired as a result of various infections and other diseases, accompanied by an increase in the body's sensitization to streptococcal allergens, endoallergens, and allergens of other microorganisms (staphylococci, E. coli, etc.). If there is an individual predisposition, the body reacts to the introduction of streptococcus into the skin by developing delayed-type hypersensitivity with the development of serous or serous-hemorrhagic inflammation.

An important component of pathogenesis is a decrease in the activity of factors that determine the patient’s protective reactions: nonspecific protective factors, type-specific humoral and cellular immunity, local immunity of the skin and mucous membranes.

In addition, neuroendocrine disorders and an imbalance of biologically active substances (the ratio of histamine and serotonin content) play a certain role in the development of the disease. Due to the relative deficiency of glucocorticoids and increased levels of mineralocorticoids in patients with erysipelas, a local inflammatory process with edema syndrome is maintained. Hyperhistaminemia helps to reduce the tone of lymphatic vessels, enhance lymph formation, and increase the permeability of the blood-brain barrier to microbial toxins. With a decrease in serotonin content, vascular tone decreases and microcirculatory disorders in tissues increase.

The affinity of streptococci for lymphatic vessels provides a lymphogenous route of dissemination with the development of lymphangitis, sclerosis of lymphatic vessels with frequent repeated episodes of erysipelas. As a result, lymph resorption is disrupted and persistent lymphostasis (lymphedema) is formed. Due to protein breakdown, fibroblasts are stimulated with the proliferation of connective tissue. Secondary elephantiasis (fibredema) develops.

Morphological changes in erysipelas are represented by serous or serous-hemorrhagic inflammation of the skin with edema of the dermis, vascular hyperemia, perivascular infiltration of lymphoid, leukocyte and histiocytic elements. Atrophy of the epidermis, disorganization and fragmentation of collagen fibers, swelling and homogenization of the endothelium in the lymphatic and blood vessels are observed.

Modern clinical classification of erysipelas provides for the identification of the following forms of the disease.
By the nature of local lesions:

1. erythematous;
2. erythematous-bullous;
3. erythematous-hemorrhagic;
4. bullous-hemorrhagic.

According to the degree of intoxication (severity):

1. light;
2. moderate severity;
3. heavy.

By flow rate:

1. primary;
2. repeated;
3. recurrent (often and rarely, early and late).

According to the prevalence of local manifestations:

1. localized;
2. widespread;
3. wandering (creeping, migrating);
4. metastatic.

Explanations for classification.

1. Recurrent erysipelas includes cases that occur in the period from several days to 2 years after the previous disease, usually with the same localization of the local process, as well as later ones, but with the same localization with frequent relapses.
2. Recurrent erysipelas includes cases that occur no earlier than 2 years after the previous illness, in persons who have not previously suffered from recurrent erysipelas, as well as cases that developed at an earlier date, but with a different localization.
3. Localized are the forms of the disease with a local focus of inflammation localized within one anatomical area, widespread - when the focus covers more than one anatomical area. Cases of the disease with the addition of phlegmon or necrosis (phlegmonous and necrotic forms of erysipelas) are considered as complications of the disease.

Incubation period can be established only in case of post-traumatic erysipelas; in these cases it lasts from several hours to 3-5 days. In more than 90% of cases, erysipelas begins acutely; patients indicate not only the day, but also the hour of its occurrence.

Initial period characterized by a rapid rise in body temperature to high numbers, chills, headache, aches in muscles and joints, and weakness. In severe cases of the disease, vomiting, convulsions and delirium are possible. After a few hours, and sometimes on the 2nd day of illness, in a limited area of ​​the skin there is a feeling of fullness, burning, itching, moderate pain, weakening or disappearing with rest. The pain is most pronounced with erysipelas of the scalp. Quite often, pain occurs in the area of ​​the regional lymph nodes, which intensifies with movement. Then redness of the skin (erythema) with swelling appears.

At the height of the disease Subjective sensations, high fever and other general toxic manifestations persist. Due to toxic damage to the nervous system against the background of high body temperature, apathy, insomnia, vomiting can develop, and with hyperpyrexia - loss of consciousness and delirium. A spot of bright hyperemia with clear, uneven boundaries in the form of “tongues of flame” or “geographic map”, swelling, and thickening of the skin forms on the affected area. The lesion is hot and slightly painful to the touch. In case of lymph circulation disorders, hyperemia has a cyanotic tint; in case of trophic disorders of the dermis with lymphovenous insufficiency, it is brownish. After pressing with your fingers on the area of ​​erythema, the redness underneath disappears within 1-2 seconds. Due to the stretching of the epidermis, the erythema is shiny, and at its edges the skin is slightly raised in the form of a peripheral infiltration ridge. At the same time, in most cases, especially with primary or recurrent erysipelas, the phenomena of regional lymphadenitis are observed: compaction of the lymph nodes, their pain on palpation, limited mobility. In many patients, concomitant lymphangitis appears in the form of a narrow pale pink stripe on the skin connecting the erythema with the regional group of lymph nodes.

From the internal organs, muffled heart sounds, tachycardia, and arterial hypotension can be observed. In rare cases, meningeal symptoms appear.

Fever, varying in height and nature of the temperature curve, and other manifestations of toxicosis usually persist for 5-7 days, and sometimes a little longer. When body temperature decreases, period of convalescence. The reverse development of local inflammatory reactions occurs after the body temperature normalizes: the erythema turns pale, its boundaries become unclear, and the marginal infiltration ridge disappears. The swelling subsides, the symptoms of regional lymphadenitis decrease and disappear. After the hyperemia disappears, fine scaly peeling of the skin is observed, and pigmentation is possible. In some cases, regional lymphadenitis and skin infiltration persist for a long time, which indicates the risk of early recurrence of erysipelas. Long-term persistence of persistent edema is a sign of the formation of lymphostasis. The given clinical characteristics are typical erythematous erysipelas.

Erythematous-hemorrhagic erysipelas. In recent years, the condition has been encountered much more frequently; in some regions, in terms of the number of cases, it comes out on top among all forms of the disease. The main difference between local manifestations of this form and erythematous is the presence of hemorrhages - from petechiae to extensive confluent hemorrhages against the background of erythema. The disease is accompanied by a longer fever (10-14 days or more) and a slow reverse development of local inflammatory changes. Complications such as skin necrosis often occur.

Erythematous bullous erysipelas. Characteristic is the formation of small blisters against the background of erythema (phlyctenas, visible in side lighting) or large blisters filled with transparent serous contents. Bubbles form several hours or even 2-3 days after the onset of erythema (due to epidermal detachment). As the disease progresses, they spontaneously rupture (or are opened with sterile scissors), the serous contents drain, and the dead epidermis exfoliates. The macerated surface slowly epithelializes. Crusts form, after which no scars remain. Infectious-toxic syndrome and regional lymphadenitis are not fundamentally different from their manifestations in erythematous erysipelas.

Bullous-hemorrhagic erysipelas. The fundamental difference from erythematous-bullous erysipelas is the formation of blisters with serous-hemorrhagic contents, caused by deep damage to the capillaries. When the blisters open, erosions and ulcerations often form on the macerated surface. This form is often complicated by deep necrosis and phlegmon; After recovery, scars and skin pigmentation remain.

The most common localization of the local inflammatory focus in erysipelas is the lower limbs, less often the face, even less often the upper limbs, chest (usually with lymphostasis in the area of ​​postoperative scars), etc.

Erysipelas, regardless of the form of the disease, has some age-related characteristics .

Children get sick rarely and easily.

In elderly people, primary and recurrent erysipelas usually have a more severe course with a prolongation of the febrile period (sometimes up to 4 weeks) and exacerbation of various concomitant chronic diseases. Regional lymphadenitis is absent in most patients. Regression of local manifestations in elderly people is slow.

The disease is prone to relapsing. There are early (in the first 6 months) and late, frequent (3 times a year or more) and rare relapses. With frequent recurrence of the disease (3-5 times a year or more), they speak of a chronic course of the disease. In these cases, quite often the symptoms of intoxication are moderate, the fever is short, the erythema is faint and without clear boundaries, and there is no regional lymphadenitis.

Differentialdiagnostics

Erysipelas is differentiated from many infectious, surgical, skin and internal diseases: erysipeloid, anthrax, abscess, phlegmon, panaritium, phlebitis and thrombophlebitis, obliterating endarteritis with trophic disorders, eczema, dermatitis, toxicoderma and other skin diseases, systemic lupus erythematosus, scleroderma and etc.

When making a clinical diagnosis of erysipelas, take into account the acute onset of the disease with fever and other manifestations of intoxication, which often precede the occurrence of typical local phenomena (in some cases occurring simultaneously with them), the characteristic localization of local inflammatory reactions (lower limbs, face, less often other areas of the skin ), development of regional lymphadenitis, absence of severe pain at rest.

Treatment of erysipelas in hospital

Treatment of patients with erysipelas should be carried out taking into account the form of the disease, primarily its frequency (primary, repeated, recurrent, often recurrent erysipelas), as well as the degree of intoxication, the nature of local lesions, the presence of complications and consequences. Currently, most patients with mild erysipelas and many patients with moderate forms of the disease are treated in a clinic. Indications for compulsory hospitalization in infectious diseases hospitals (departments) are:
severe course of erysipelas with pronounced intoxication or widespread skin lesions (especially in the bullous-hemorrhagic form of erysipelas);
frequent relapses of erysipelas, regardless of the degree of intoxication, the nature of the local process;
the presence of severe common concomitant diseases;
old age or childhood.
Antibacterial therapy occupies the most important place in the complex treatment of patients with erysipelas (as well as other streptococcal infections). When treating patients in a clinic and at home, it is advisable to prescribe antibiotics orally: erythromycin 0.3 g 4 times a day, oletethrin 0.25 g 4 - 5 times a day, doxycycline 0.1 g 2 times a day, spiramycin 3 million IU 2 times a day (course of treatment 7 - 10 days); azithromycin - on the 1st day 0.5 g, then for 4 days 0.25 g 1 time per day (or 0.5 g for 5 days); ciprofloxacin - 0.5 g 2 - 3 times a day (5 - 7 days); biseptol (sulfatone) - 0.96 g 2 - 3 times a day for 7 - 10 days; rifampicin - 0.3 - 0.45 g 2 times a day (7 - 10 days).

In case of intolerance to antibiotics, furazolidone is indicated - 0.1 g 4 times a day (10 days); delagil 0.25 g 2 times a day (10 days). It is advisable to treat erysipelas in a hospital setting with benzylpenicillin in a daily dose of 6 - 12 million units, a course of 7 - 10 days. In severe cases of the disease, the development of complications (abscess, phlegmon, etc.), a combination of benzylpenicillin and gentamicin (240 mg once a day) and the prescription of cephalosporins are possible.
For severe skin infiltration at the site of inflammation, non-steroidal anti-inflammatory drugs are indicated: chlotazol 0.1 - 0.2 g 3 times or butadione 0.15 g 3 times a day for 10 - 15 days. Patients with erysipelas need to be prescribed a complex of B vitamins, vitamin A, rutin, ascorbic acid, a course of treatment of 2 - 4 weeks. In case of severe erysipelas, parenteral detoxification therapy is carried out (hemodesis, rheopolyglucin, 5% glucose solution, saline solution) with the addition of 5 - 10 ml of 5% ascorbic acid solution, 60 - 90 mg of prednisolone.

Cardiovascular, diuretic, and antipyretic drugs are prescribed.
Pathogenetic therapy of local hemorrhagic syndrome is effective with earlier treatment (in the first 3 to 4 days), when it prevents the development of extensive hemorrhages and bullae. The choice of drug is carried out taking into account the initial state of hemostasis and fibrinolysis (according to coagulogram data). In case of clearly expressed hypercoagulation phenomena, treatment with a direct-acting anticoagulant heparin (subcutaneous administration or by electrophoresis) and the antiplatelet agent trental at a dose of 0.2 g 3 times a day for 7 - 10 days is indicated.

In the presence of pronounced activation of fibrinolysis in the early stages of the disease, it is advisable to treat with the fibrinolysis inhibitor Ambien at a dose of 0.25 g 3 times a day for 5 - 6 days. In the absence of pronounced hypercoagulation, it is also recommended to administer protease inhibitors - Contrical and Gordox - directly into the inflammation site by electrophoresis, for a course of treatment of 5 - 6 days.

Treatment of patients with recurrent erysipelas

Treatment of this form of the disease should be carried out in a hospital setting. It is mandatory to prescribe reserve antibiotics that were not used in the treatment of previous relapses. Cephalosporins (I or II generation) are prescribed intramuscularly at 0.5 - 1.0 g 3 - 4 times a day or lincomycin intramuscularly 0.6 g 3 times a day, rifampicin intramuscularly 0.25 g 3 times a day. The course of antibacterial therapy is 8 - 10 days. For particularly persistent relapses of erysipelas, two-course treatment is advisable. Antibiotics are consistently prescribed that have an optimal effect on bacterial and L-forms of streptococcus.

The first course of antibiotic therapy is carried out with cephalosporins (7 - 8 days). After a 5-7 day break, a second course of treatment with lincomycin is carried out (6-7 days). For recurrent erysipelas, immunocorrective therapy (methyluracil, sodium nucleinate, prodigiosan, T-activin) is indicated.

Local therapy

Treatment of local manifestations of the disease is carried out only in its bullous forms with localization of the process on the extremities. The erythematous form of erysipelas does not require the use of local treatments, and many of them (ichthyol ointment, Vishnevsky balm, antibiotic ointments) are generally contraindicated. In the acute period of erysipelas, if there are intact blisters, they are carefully incised at one of the edges and after the exudate is released, bandages with a 0.1% solution of rivanol or a 0.02% solution of furatsilin are applied to the site of inflammation, changing them several times during the day. Tight bandaging is unacceptable.

In the presence of extensive weeping erosions at the site of the opened blisters, local treatment begins with manganese baths for the extremities, followed by the application of the bandages listed above. For the treatment of local hemorrhagic syndrome with erythematous-hemorrhagic erysipelas, 5-10% dibunol liniment is prescribed in the form of applications in the area of ​​inflammation 2 times a day for 5-7 days. Timely treatment of hemorrhagic syndrome significantly reduces the duration of the acute period of the disease, prevents the transformation of erythematous-hemorrhagic erysipelas into bullous-hemorrhagic, accelerates reparative processes, and prevents complications characteristic of hemorrhagic erysipelas.

Physiotherapy

Traditionally, in the acute period of erysipelas, ultraviolet radiation is prescribed to the area of ​​inflammation in the area of ​​regional lymph nodes. If skin infiltration, edematous syndrome, regional lymphadenitis persist during the convalescence period, ozokerite applications or dressings with heated naphthalan ointment (on the lower extremities), paraffin applications (on the face), lidase electrophoresis (especially in the initial stages of elephantiasis formation), calcium chloride, radon baths. Recent studies have shown the high effectiveness of low-intensity laser therapy for local inflammation, especially in hemorrhagic forms of erysipelas.

Laser radiation is used in both the red and infrared ranges. The applied dose of laser radiation varies depending on the condition of the local hemorrhagic lesion and the presence of concomitant diseases.

Bicillin prevention of recurrent erysipelas

Bicillin prophylaxis is an integral part of complex dispensary treatment of patients suffering from a recurrent form of the disease. Prophylactic intramuscular administration of bicillin (5 - 1.5 million units) or retarpen (2.4 million units) prevents relapses of the disease associated with reinfection with streptococcus. If foci of endogenous infection persist, these drugs prevent reversion
L-forms of streptococcus into their original bacterial forms, which helps prevent relapses. In case of frequent relapses (at least 3 in the last year) of erysipelas, continuous (year-round) bicillin prophylaxis is advisable for 2 - 3 years with an interval of drug administration of 3 - 4 weeks (in the first months the interval can be reduced to 2 weeks). In case of seasonal relapses, the drug begins to be administered a month before the start of the morbidity season in a given patient with an interval of
4 weeks for 3 - 4 months annually. If there are significant residual effects after erysipelas, the drug is administered at intervals of 4 weeks for 4 to 6 months. Clinical examination of patients with erysipelas should be carried out by doctors in the infectious diseases departments of polyclinics, with the involvement, if necessary, of doctors of other specialties.

Complications

The disease is often complicated by abscesses, cellulitis, deep skin necrosis, ulcers, pustulization, phlebitis and thrombophlebitis, and in rare cases, pneumonia and sepsis. Due to lymphovenous insufficiency, which progresses with each new relapse of the disease (especially in patients with frequently recurrent erysipelas), in 10-15% of cases the consequences of erysipelas develop in the form of lymphostasis (lymphedema) and elephantiasis (fibredema). With a long course of elephantiasis, hyperkeratosis, skin pigmentation, papillomas, ulcers, eczema, and lymphorrhea develop.

Treatment of erysipelas with folk remedies and home treatment methods.

Erysipelas, treatment: if you do not want to treat erysipelas with antibiotics, you can try to cure them using traditional methods

As they say, the name erysipelas (an infectious disease) comes from the beautiful word “rose”. The similarity was determined by the fact that with erysipelas, the face becomes crimson, like this flower, and due to swelling, its shape resembles its petals. When erysipelas affects not only the skin, but the entire body as a whole.

1. Mix chamomile flowers with coltsfoot leaves in a 1:1 ratio, adding a little honey. Apply the resulting mixture to the affected area.
2. Prepare an ointment from yarrow (use fresh herb) and butter (unsalted!) and lubricate the affected area.
3. Mash a fresh burdock leaf, add thick sour cream and apply to the affected area.
4. Mash finely crushed plantain leaves and mix with honey in a 1:1 ratio, boil over low heat and leave for a couple of hours. Apply to the affected area.
5. Grind sage leaves into powder and mix with chalk in a 1:1 ratio, sprinkle on the affected area and bandage. Change the bandage 4 times a day.
6. Crush the medicinal rue and mix with ghee in a 1:1 ratio, lubricate the affected area.
7. Take equal amounts of calendula, dandelion, horsetail, nettle, thorn flowers, blackberries and oak bark and mix, then boil for 10 minutes. over low heat (the amount of water should be 3 times the weight of the herbs). Rinse the affected area with the resulting decoction.
8. Lubricate the sore spot with propolis ointment. With this treatment, the inflammation goes away in 3-4 days.
9. Grind the washed hawthorn fruits and apply the resulting pulp to the area affected by erysipelas.
10. Mix chamomile (flowers), coltsfoot (leaves), black elderberry (flowers and fruits), common kirkazon (herb), common oak (bark), Crimean rose (flowers) equally. For 1 liter of boiling water, take 3 tablespoons of the mixture, leave and strain. Take 50 ml 7 times a day.
11. Lubricate the parts of the body affected by erysipelas with pork fat every 2 hours. Inflammation is quickly relieved.
12. Apply crushed bird cherry or lilac bark, plantain or blackberry leaves to the sore spots.
13. Mix dry crushed sage leaves, chamomile flowers, chalk and red brick powder taken in equal parts. Pour the resulting mixture onto a cotton cloth and tie it to the affected area. Change 4 times a day in a dark place, away from direct sunlight.
14. An alcoholic tincture of eucalyptus is used for lotions for erysipelas.
15. Pour potato starch onto a piece of cotton wool and apply to the sore spot as a dry compress.
16. Healers recommended early in the morning, before sunrise, to sprinkle the area affected by erysipelas with clean chalk powder, put a red woolen cloth on top and bandage it. The next morning, apply another bandage, replacing the chalk. Erysipelas heals in a few days.
17. Tear a palm-sized piece of natural red silk into small pieces. Mix with natural bee honey, divide the mixture into 3 parts. In the morning, an hour before sunrise, apply this mixture to the area affected by erysipelas and bandage it. The next morning, repeat the procedure. Repeat the procedure daily until recovery.
18. According to the Tajik recipe, the roots of Soapwort should be crushed or crushed into powder, pour a small amount of boiling water over it, and mix. Apply the resulting pulp to the area affected by erysipelas.
    Pour 2-3 tablespoons of chopped apical raspberry branches with leaves with 2 cups of boiling water and leave. Use to wash affected areas.
19. Pour the crushed top layer of sloe bark (prickly plum) in the amount of 1 teaspoon into a glass of boiling water, boil for 15 minutes and dilute with a glass of water. Use the decoction in the form of lotions.
20. Grind the dry leaves of coltsfoot into powder and sprinkle it on the area affected by erysipelas. At the same time, drink a decoction of leaves at the rate of 10 g of raw material per 200 ml of boiling water, 1 teaspoon 3 times a day.
21. Place a dry compress of potato starch on cotton wool on the affected areas.
22. Apply a multi-layer gauze bandage soaked in potato juice to the affected areas, changing it 3-4 times a day. Can be left overnight. Additionally, the bandage on the side in contact with the skin can be sprinkled with penicillin powder.
23. Apply coltsfoot leaves to the affected areas and at the same time take powder from dried coltsfoot leaves.
24. Apply fresh burdock leaves coated with sour cream to the affected areas 2-3 times a day.
25. Apply plantain leaves sprinkled with chalk powder to the erysipelas.
26. Apply crushed bird cherry bark to areas affected by erysipelas.
27. Apply crushed hawthorn fruits to the inflamed areas of the skin.
28. Apply crushed lilac bark to areas affected by erysipelas.
29. Dilute 1 teaspoon of dope seeds or leaves tincture with 0.5 cups of boiled water. Use for lotions

Treatment of erysipelas with yarrow:

You need to collect yarrow leaves, then wash them and pour boiling water over them. Once the decoction reaches an acceptable temperature for you, place the leaves on the affected areas. Then place a plastic bag on top, cotton wool and wrap the entire compress with a bandage. After the yarrow leaves dry out and begin to prick the sore spots, you should remove them and put in new ones. This procedure must be done six to seven times. After three such compresses, the itching will go away, and after a week of treatment, the erysipelas will leave you.

At treatment of erysipelas The following folk recipes with honey are used:

• Mix 2 tbsp. spoons of rye flour with 1 tbsp. spoon of honey and 1 tbsp. spoon of crushed elderberry leaves. Apply to affected areas of skin.
• Take celery root (1 kg), or leafy, rinse well, dry and mince, add 3 tbsp. spoons of golden mustache leaf juice and mix everything with 0.5 kg of honey. Transfer the resulting mass into a glass jar and refrigerate for two weeks. Take 1 tbsp. spoon 3 times a day before meals. This amount is sufficient for treatment. In some cases, 2 servings of medication will be needed.

In the East, skin erysipelas is treated using compresses made from wine to which rust is added.

In folk medicine, a mixture of rice flour and chalk was also used, which was applied to the face for as long as 5 days and protected from the sun, as well as lubricating erysipelas with purified kerosene. We do not recommend using these recipes, since the consequences in the form of skin burns can be even more dangerous than the erysipelas itself (even necrosis of the underlying tissues).
But here is a very simple, and also harmless, remedy: take three ears of rye and circle the sore spot with them, after which throw the ears into the fire. On this day, the erysipelas should no longer go further. On the second day, do the same with the other three ears of corn - and the affected areas will fade. On the 3rd day again, and the illness should stop. Of course, this remedy can only be used during the flowering of the rye or when its ear is filling. And although this remedy has been tested several times, it is not recommended to abandon antibacterial therapy.

Burnet in the folk treatment of erysipelas on the leg

Prepare a tincture of burnet root according to the following recipe. Dilute 1 tbsp. l. tinctures in 100 g of water, apply lotions to inflamed areas of the skin. This folk remedy for treating erysipelas quickly relieves burning, reduces inflammation, and significantly alleviates the patient’s condition. In the folk treatment of erysipelas, tincture of burnet root can be replaced with its decoction.

Traditional treatment for erysipelas on the leg with cottage cheese

Cottage cheese helps a lot with erysipelas on the leg. You need to apply a thick layer of cottage cheese onto the inflamed area, not allowing it to dry out. This folk remedy for treating erysipelas relieves pain symptoms from the affected area and restores the skin.

Black root in folk recipes for the treatment of erysipelas on the leg

Pass the blackroot officinalis (root) through a meat grinder, wrap the pulp in a gauze napkin and secure the compress on the injured leg. This folk remedy for treating erysipelas on the leg quickly relieves heat and pain and removes swelling.

Yarrow and chamomile in the folk treatment of erysipelas on the leg

Squeeze juice from yarrow and chamomile, 1 tbsp. l. juice mixed with 4 tbsp. l. butter. The resulting ointment quickly relieves inflammation from the affected area of ​​the skin and reduces pain symptoms. In the folk treatment of erysipelas, the juice of only one of these plants can be used as part of a healing ointment.

Celery in folk recipes for the treatment of erysipelas

Erysipelas on the leg can be treated with celery. Pass celery leaves through a meat grinder, wrap the pulp in a gauze napkin and secure the compress on the damaged skin. Keep for at least 30 minutes. You can use cabbage instead of celery.

How to treat erysipelas on the leg with beans

Powder from dried and crushed beans: use as a powder for weeping eczema, burns, and erysipelas of the skin.

Traditional treatment for erysipelas on the leg with chalk

Chalk is widely used in the folk treatment of erysipelas. This folk remedy for erysipelas is mentioned in all medical books. Despite all its simplicity and absurdity, it is very effective. Even doctors recognize the inexplicable effect of the color red on suppressing erysipelas. How to treat erysipelas with chalk and red cloth:
The recipe is simple. Grind the chalk into powder, sprinkle it generously on the sore spot and wrap it in a red rag. Then wrap the affected area with a towel. The compress should be done at night. After this procedure, the temperature will go away in the morning, the red color and severe swelling will go away. After 3-4 days, the erysipelas completely disappears.
The effectiveness of this folk treatment for erysipelas will increase greatly if you add dry, powdered chamomile flowers and sage leaves in equal proportions to the chalk powder.

Elderberry in folk treatment of erysipelas

Fill a saucepan with small branches and leaves of black elderberry, add hot water so that the water level is 2 cm higher. Boil for 15 minutes, leave for 1 hour.
Heat unwashed millet in the oven or in a frying pan, grind into powder in a coffee grinder and mix into a homogeneous mass. Place this mixture on the sore spot and place a napkin soaked in elderberry decoction on top. Leave the compress overnight.
In the morning, remove the compress and wash the area affected by erysipelas with elderberry decoction. After three such compresses, the erysipelas goes away.

Coltsfoot in the folk treatment of erysipelas

You can apply coltsfoot leaves to the affected areas 2-3 times a day, but it is more effective to sprinkle the affected areas with powder from these leaves and take 1 tsp orally. 3 times a day decoction prepared at the rate of 10 g of herb per 1 glass of water.

Burdock in the folk treatment of erysipelas on the leg

To treat erysipelas, apply fresh burdock leaves, smeared with sour cream, to the affected areas 2-3 times a day.

Mix rye flour with honey and elderberry leaves. Apply the resulting mass as a compress.

Propolis. Lubricating the sore spot with propolis ointment cures erysipelas in 3-4 days.

Infusion from the tops of raspberry branches with leaves: take 2-3 tbsp. l. raw materials. Pour 2 cups boiling water. Insist. Use for washing.

Diet.

In folk medicine, the following method of healing with diet is known. The patient should be kept for several days (up to a week) on water and lemon or orange juice. Then, when the temperature returns to normal, switch to a fruit diet. Give fresh fruits (apples, pears, peaches, apricots, oranges) three times a day. The diet is very strict: nothing but fruit. Drink only water (with lemon). Under no circumstances should you eat bread. The fruits must be ripe. In winter, when there are no fresh fruits, they are treated with dried fruits soaked in water, supplemented with grated carrots, honey, and milk. The course of treatment is up to 2 weeks.

Inflammation of the eyes due to erysipelas

• Datura, leaves and seeds. 20 gr. Datura seeds or leaves per glass of boiling water. Leave covered for 30 minutes, strain. Dilute half and half with water. Apply lotions for eye inflammation.
• Vodka tincture of seeds or leaves. Dilute one teaspoon of tincture into 1/2 cup of boiled water. Use for lotions..

Mistakes in the treatment of erysipelas

The most common mistakes in diagnosing and treating erysipelas, which can significantly slow down recovery and even lead to surgery:

sunbathing or the use of ultraviolet irradiation is unacceptable;
an attempt to apply anti-swelling or blood circulation-improving ointments. In this case, the infection spreads throughout the body;
it is strictly forbidden to apply compresses or use hot baths;
failure to seek help in a timely manner;
incorrect diagnosis - treatment tactics are determined by many factors: STAGE OF THE DISEASE, FORM OF THE DISEASE, AGE OF THE PATIENT, PRESENCE OF CONCOMITING DISEASES;
attempting self-treatment with antibiotics;
DO NOT ATTEMPT TO INDEPENDENTLY APPLY THE METHODS OF TRADITIONAL MEDICINE DESCRIBED ON THE INTERNET. When using one method or another, you must understand what you are doing. People who use such methods KNOW AND UNDERSTAND WHAT AND WHY THEY DO, ONLY THE VISIBLE PART OF THE PROCEDURE IS DESCRIBED ON THE INTERNET, AND PART OF THE PROCEDURE BEHIND THE SCENES IS KNOWN ONLY TO THE HEALING PERSON, DOING THIS TREATMENT ON YOURSELF DOES NOT ACHIEVE ABSOLUTELY ANYTHING YOU ARE JUST WASTING PRECIOUS TIME, WHAT. EXCEPT HARM. WILL NOT BRING ANYTHING.

Erysipelas is an infectious disease that is a lesion of human skin in the genital area, torso, but most often on the legs. How to get rid of this disease: with the help of medications or using home methods? Each person chooses his own way. However, today we will learn how to overcome this disease using chalk, propolis, plantain and other means.

Causes

Erysipelas is an infectious disease caused by streptococcus. But healthy skin cannot become inflamed under the influence of this bacterium. The development of infection presupposes the presence of certain conditions, as a result of which a disease may develop, called folk remedies for this ailment. However, the result of such home therapy is not always successful. Therefore, before starting treatment, you need to consult a doctor to find out the cause of inflammation, the stage of the disease, as well as possible ways to get rid of this disease.

And the factors due to which a person may develop erysipelas on the leg may be:

Scratches, cuts, diaper rash.

Sudden change in temperature (hypothermia, overheating).

Bruises, injuries, thermal burns.

Having a tan.

Foot fungus.

Obesity.

Diabetes.

Alcoholism.

Phlebeurysm.

Trophic ulcers on the legs.

Reduced immunity, especially in old age.

Work associated with dirty conditions (for example, construction workers, loaders, metallurgical and coke production workers).

Signs of the disease

Symptoms of this disease on the leg appear immediately after infection. Signs of the presence of erysipelas on the leg are:

General weakness.

Headache.

Increased body temperature.

Redness of the affected area.

Pain at the site of the outbreak.

Chalk treatment

Many patients, disillusioned with conventional medicine, resort to home methods of getting rid of this inflammation and try to treat erysipelas with folk remedies. People most often try to overcome this illness with a red rag and chalk. And some of the patients, in their opinion, manage to get rid of this disease. So, for treatment you will need ordinary chalk. It should be thoroughly crushed to form a powder. Then you need to sprinkle it on the affected area, wrap it in a red rag, and bandage it with a towel on top. This compress can be left on all night. And the next morning, according to the patients themselves, such treatment of erysipelas on the leg with folk remedies will give the first results: the inflammation will subside, the temperature will subside, there will be no swelling, and the skin color will become paler. In a week the person will completely forget about this disease.

Some patients also advise using dry crushed chamomile flowers and sage leaves in equal proportions along with chalk.

Getting rid of illness through prayers

They are trying to overcome erysipelas of the leg using various means. Treatment with folk remedies (spells and prayers among them) was described by the great Hippocrates. In European countries, erysipelas is called “St. Anthony’s fire.” The disease received this name due to the fact that the disease manifests itself on the skin in the form of uneven red spots that look like fire. In the time of Hippocrates, it was believed that a spell could stop erysipelas. To this day, some healers and healers use this method to get rid of illness. First, they cast a spell on the red cloth, which they subsequently wrap around the affected area of ​​the body. Some people use rye flour with honey. They apply the resulting mixture as a compress to the sore spot and begin to read a prayer. You can find many different spell texts, but not all of them are effective. Therefore, it is better to go to an experienced healer who knows the correct prayer to get rid of erysipelas.

Treatment with plantain

Everyone knows about this herb: both adults and children. After all, often, if one of the children cuts himself while walking on the street, friends begin to look for plantain to apply it to the bleeding wound. Therefore, treating erysipelas with folk remedies also involves this method. Not only can plantain heal cuts, but also an infectious skin disease caused by streptococcus. To do this, you should take a plantain leaf that grows in a favorable climatic zone (away from traffic intersections and industrial enterprises), sprinkle it with chalk (in powder form) and apply it to the sore leg. If the lesion is large, then, accordingly, you should pick several leaves of this plant. You need to make such compresses until the erysipelas in your leg goes away.

Treatment with folk remedies: propolis

This resinous substance produced by bees has been used for therapeutic purposes since ancient times. Propolis has a bactericidal and analgesic effect. Many things can be treated with this substance, including erysipelas. To do this, you should buy 30-40% propolis ointment at the pharmacy and apply it to the affected area twice a day. This should be done by rubbing or heating with

Burdock therapy

Treatment of erysipelas on the leg with folk remedies also involves the use of a plant such as burdock. Its leaves are needed, which must be fresh and clean. They need to be doused with boiling water, then spread with butter or sour cream. After this, the leaves should be applied to the sore leg. It is better to apply such compresses 3 times a day.

Rescue in the sage

If at the appointment the doctor determines the cause of the illness - damage to a skin area by streptococcus - then the person should immediately begin treatment for erysipelas. You can try to cure this disease using folk remedies, but doctors often prescribe drug therapy. But be that as it may, you can combine two types of treatment: using drugs from the pharmacy, as well as folk remedies. Many people say that sage helped them cope with this skin problem. This plant, according to patients, relieved them of erysipelas on their legs in a short time. To do this, grind the sage to a powder, then mix it with chalk in equal quantities. The resulting composition must be applied to the affected area of ​​the skin and secure this mixture with a bandage. This therapeutic dressing must be changed every 6 hours.

Yarrow compress

This plant can relieve itching and cure erysipelas of the leg. Treatment with folk remedies does not always justify the results, but in the case of yarrow, the effect is always positive. It is necessary to collect fresh leaves of the plant. Rinse them and pour boiling water over them. When the water has cooled, remove the leaves and apply them to the sore spot. Then you need to wrap your leg or bag and secure it with a bandage. When the leaves dry, they will begin to affect the skin, causing a tingling sensation. In this case, you need to remove the bandage and apply another portion of steamed yarrow. The compress needs to be changed approximately 6-7 times a day. Already 3 days after such procedures, the itching will go away. A complete cure will occur in about a week.

Recipe with a plant from the buckwheat family

With help, you can also get rid of such a disease as erysipelas of the leg. Treatment with folk remedies will help a person not to poison himself with drugs from the pharmacy. The main thing is that home methods are effective. So, for this method you need to rinse the horse sorrel root under running water, peel, chop and pour it with fresh cow's milk. Then put the mixture on low heat and boil it for 1 hour. The resulting softened root should be applied to the affected area, covered with a towel, then with a warm cloth. As the compress dries, it must be replaced with a fresh one.

Recipe using berries

With help you can also overcome an infectious disease such as erysipelas of the leg. Treatment with folk remedies for this problem is effective only if the person follows the correct proportions according to the prescription and changes the bandage on time. This method will require 2 kg of blackberry leaves, which must first be washed and crushed in a blender until a paste forms. Apply the resulting mixture to the affected area of ​​the body, bandage the leg and leave for 3 hours. The first 2 days of illness need to be treated especially intensively: it is important to change compresses every 3 hours. From the third day you can apply two dressings per day. Often, all symptoms of the disease disappear within a week.

Daily ration

Erysipelas of the leg, the symptoms and treatment of which were described above with folk remedies, for effective and speedy elimination requires the patient to follow a special diet. During the first week of illness, the affected person should drink only water and juices (lemon and orange are suitable). Then, when the temperature returns to normal, you can switch the patient to a fruit diet. Three times a day he should be given fresh apples, pears, oranges, apricots, and peaches. A diet designed specifically for a disease such as erysipelas must be strict. A person should not eat anything except fruits. During treatment, you should not eat bread or animal products. If the illness catches a person in winter, when there is no trace of fruit to be found, patients should eat dried fruits, which are supplemented with grated carrots and honey. This diet should be followed for about 2 weeks. During this time, the person will feel how the illness begins to recede, and soon the soreness and redness of the skin will completely disappear.

Now you know what erysipelas is. Treatment and folk remedies that can overcome the disease and prevent it from reoccurring are also described in the article. We have determined that with the help of chalk, plantain, blackberry, horse sorrel, and yarrow, you can get rid of this disease. But if no method helps a person, then he should consult a doctor.

Erysipelas is a contagious disease that affects the skin on the face, scalp, and hands. This is dangerous for others, but also causes painful symptoms and psychological discomfort for the patient. It is worse when the inflammation touches the legs. The patient is not always able to move without assistance. Erysipelas of the leg requires an immediate visit to the surgeon. Only with early diagnosis is rapid healing possible. Severe cases require hospitalization.

What is erysipelas on the leg

Erysipelas is an infectious skin disease that has clear boundaries and a bright red color at the site of the lesion. The causative agent is the bacterium streptococcus. It exists in the environment. If you receive a leg injury, just a scratch, or are bitten by an insect, streptococcus enters the body through the damaged skin and becomes infected. When your immune system is weakened, erysipelas will develop very quickly. People who work outdoors often get sick: construction workers, agricultural workers. According to the international classifier ICD-10, erysipelas has the number A46.

Streptococcus can remain in the body after illness, for example, chronic streptococcal tonsillitis or caries. If you have a strong immune system, you can live with bacteria for many years without getting sick. Erysipelas can begin after stress or a sudden change in temperature. The provocateur of the inflammatory process is tanning or hypothermia. The following diseases provoke erysipelas:

• foot fungus;
• thrombophlebitis;
• diabetes;
• phlebeurysm;
• obesity;
• lymphatic drainage disorders;
• allergy.

Symptoms of the disease

Erysipelas of the leg begins suddenly. At the initial stage, the temperature rises sharply, weakness and muscle pain appear. Redness and swelling occur on the skin. The lesion quickly increases in size. In severe forms, confusion and convulsions appear. The patient loses consciousness and may faint. The course of the disease is characterized by:

• feeling of heat, fullness;
• enlarged lymph nodes;
• soreness, itching;
• nausea;
• intestinal problems;
• burning sensation.

Causes of the disease

There are many reasons for the onset of erysipelas. A special role is played by skin disorders resulting from injuries to the limbs and insect bites. A small abrasion and microcracks are enough for the streptococcus bacteria that causes the disease to enter. One of the reasons is the professional factor. The disease occurs in people who work in chemical plants. The provoking effect is long walking in rubber shoes. At the same time, mechanics, miners, and people working in metallurgy get sick.

The causes of erysipelas can be:

• purulent and viral infections - the infection enters through opened blisters;
• allergic skin diseases - bacteria penetrate through scratching areas;
• metabolic disorders;
• decreased immunity;
• oncology;
• diseases of internal organs;
• taking medications that reduce immune defense;
• ENT diseases;
• stress;
• elderly age of the patient;
• impaired blood flow in the lower extremities;
• drinking alcohol, smoking.

Diagnostic methods

Diagnosis of erysipelas of the leg begins with interviewing the patient. It is determined how the disease began, how long it lasts, and what the symptoms are. Next, the diseased limb is examined for compliance with the signs of the disease. If they are not clearly expressed, a blood test is done to determine the presence of infection. If necessary, consult with a dermatologist and infectious disease specialist. In a controversial situation, a histological examination of infected tissue is carried out.

Is erysipelas contagious?

Erysipelas is contagious and can be transmitted through contact with sick people. If a person close to you has such a diagnosis and care is required for him, it is necessary to take precautions. Use gloves to carry out procedures. After communicating, be sure to wash your hands with soap. Provide the patient with separate dishes and linen.

Treatment of erysipelas at home

If you seek help in time, a quick cure for erysipelas is possible. It can be done at home, and only severe cases require hospitalization. The treatment method is prescribed by the doctor - he determines the necessary medications and means of recovery. How to treat erysipelas on the leg? Since this is an infectious disease, it all starts with taking antibiotics. Next they assign:

• drugs to eliminate symptoms of the disease;
• physical therapy;
• use of lotions, compresses;
• use of ointments, creams;
• baths;
• powders;
• treatment with folk remedies.

Medication

In case of erysipelas, it is necessary to start treatment on time. All doctor's instructions must be followed. In advanced cases, non-healing trophic ulcers may appear. To treat the infection, antibiotics are used, which are taken in the form of tablets and injections. Great importance is attached to the fight against symptoms, so the following medications are prescribed:

• Claritin, which relieves itching;
• "Nurofen", which lowers temperature and reduces inflammation;
• “Hypothiazide”, which removes excess fluid and relieves intoxication;
• “Prodigiozan”, which supports immunity;
• vitamin complexes.

Antibiotics

If the disease is mild, a weekly course of antibiotic tablets is prescribed. These may be drugs: Azithromycin, Erythromycin, Sparamycin. Antibiotics are selected so that they act on streptococcus, which causes erysipelas. If the chosen drug is not suitable, ten days later they try another one. For better effects, intravenous antibiotics are prescribed. In severe cases, in hospital conditions, Benzylpenicillin is used. Treatment takes place strictly under the supervision of a doctor.

Ointment for skin inflammation

When treating erysipelas in the early stages, ointments are not used. They are used for the cystic form of the disease. In this case, “Ichthyol ointment” is effective, which acts as an antiseptic and promotes disinfection. "Vishnevsky Ointment" helps in the treatment of old infections. At the recovery stage, the use of Naftalan ointment gives excellent results.

Folk remedies

When treating erysipelas of the leg using folk remedies, consultation with the attending physician is required - independence leads to complications. Grated potatoes laid in a thick layer are used as a compress. It is recommended to use fresh burdock or cabbage leaves, you should:

• rinse them;
• beat until the juice releases;
• tie to a sore spot.

The healing properties are attributed to the effect of a red rag - it is recommended to bandage it after applying a compress. It is advised to try a powder of ground chalk - leave it overnight. Treatment with vegetable oil helps, which should be boiled in a water bath for 5 hours. They lubricate the wound with it and sprinkle with crushed “Streptocide”. The compress is left overnight.

Which doctor treats erysipelas?

If you find signs of erysipelas in your leg, you need to see a surgeon. The disease, which was identified at the initial stage, is treated on an outpatient basis. Complex and severe forms of the disease are treated in a hospital. In doubtful cases, when the diagnosis is ambiguous, a consultation with a dermatologist may be necessary. If a child has erysipelas, an infectious disease specialist is involved in the treatment.

With erysipelas, both extremities are often affected.