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</div><div><span>Erysipelas</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Erysipelas</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Erysipelas is a type of skin infection. It affects the outermost layer of the skin and the local lymph nodes. </p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Erysipelas is usually caused by group A streptococcus bacteria. The condition may affect both children and adults.</p><p>Some conditions that can lead to erysipelas are:</p><ul><li>A cut in the skin</li><li>Problems with drainage through the veins or lymph system</li><li>Skin sores (ulcers) </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>The infection occurs on the legs or arms most of the time. It may also occur on the face and trunk.</p><p>Symptoms of erysipelas may include:</p><ul><li>Fever and chills </li><li>Skin sore with a sharp raised border. As the infection spreads, the skin is painful, very red, swollen, and warm. <a test="test" href="./003939.htm">Blisters</a> on the skin can form. </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Erysipelas is diagnosed based on how the skin looks. A <a test="test" href="./003840.htm">biopsy of the skin</a> is usually not needed.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Antibiotics are used to get rid of the infection. If the infection is severe, antibiotics may need to be given through an intravenous
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(IV) line.</p><p>People who have repeated episodes of erysipelas may need long-term antibiotics.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>With treatment, the outcome is good. It may take a few weeks for the skin to return to normal. Peeling is common as the skin heals. </p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Possible Complications</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Sometimes the bacteria that cause erysipelas may travel to the blood. This results in a condition called bacteremia. When this happens, the infection may spread to the heart valves, joints, and bones.</p><p>Other complications include:</p><ul><li>Return of infection</li><li><a test="test" href="./000668.htm">Septic shock</a> (a dangerous body-wide infection) </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>Contact your health care provider if you have a skin sore or other symptoms of erysipelas.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Prevention</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>Keep your skin healthy by avoiding dry skin and preventing cuts and scrapes. This may reduce the risk for erysipelas.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Strep infection - erysipelas; Streptococcal infection - erysipelas; Cellulitis - erysipelas</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/2418t.jpg" alt="Erysipelas on the cheek" title="Erysipelas on the cheek" class="side-img"/><a href="../imagepages/2418.htm">Erysipelas on the cheek</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/2561t.jpg" alt="Erysipelas on the face" title="Erysipelas on the face" class="side-img"/><a href="../imagepages/2561.htm">Erysipelas on the face</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Bryant AE, Stevens DL. <em>Streptococcus pyogenes</em>. In: Bennett JE, Dolin R, Blaser MJ, eds. <em>Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases</em>. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 197.</p><p>Patterson JW. Bacterial and rickettsial infections. In: Patterson JW, ed. <em>Weedon's Skin Pathology</em>. 5th ed. Philadelphia, PA: Elsevier Limited; 2021:chap 24.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 11/18/2022</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Elika Hoss, MD, Assistant Professor of Dermatology, Mayo Clinic, Scottsdale, AZ. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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