Erysipelas (St. Anthony’s Fire)

Figure 4.9 A: Abscess (Courtesy of Dr. Paul Getz) B: Cellulitis (Courtesy of Dr. Paul Getz) C: Erysipelas (Courtesy of CDC: Dr. Thomas Sellers, Emory University)
Figure 4.9
A: Abscess
(Courtesy of Dr. Paul Getz)
B: Cellulitis
(Courtesy of Dr. Paul Getz)
C: Erysipelas
(Courtesy of CDC: Dr. Thomas
Sellers, Emory University
)
(Figure 4.9C)
  • Superficial type of cellulitis with significant dermal lymphatic involvement; typically due to GAS
  • Presents as a well-defined, bright red indurated plaque with sharp, raised borders commonly on the face or legs, ± constitutional symptoms
  • Treatment of choice: PCN (if PCN-allergic can use macrolide)