BULLOUS ERYSIPELAS

By Gary M. White, MD


Erysipelas is an acute bacterial infection in the upper layer of the skin. Cellulitis is an infection in the lower layers of the skin. Occasionally, erysipelas may be bullous.

Clinical

The condition usually occurs on the lower extremities [JAAD 1999;41;733]. Tenderness, sharply demarcated erythema and edema is typical. In addition, flaccid bulla several centimeters in diameter occur within the area. The bulla may contain blood.

Treatment

The typical intravenous antibiotics to cover for the usual pathogens is needed. Local wound care may include leg elevation and topical application of either bacitracin or Silvadene. See cellulitis.

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