1/30. Vesicular carcinoma erysipelatodes.carcinoma erysipelatodes, also known as inflammatory metastatic carcinoma, is a type of cutaneous metastatic disease. We describe a 64-year-old woman with metastatic breast carcinoma who presented with a blistering erythematous eruption resembling erysipelas with formation of vesicles and bullae. She was found to have carcinoma erysipelatodes with a formation of vesicles and bullae.- - - - - - - - - - ranking = 1keywords = erysipelas (Clic here for more details about this article) |
2/30. Anal colonization of group G beta-hemolytic streptococci in relapsing erysipelas of the lower extremity.Four patients who had frequent relapses of erysipelas but no obvious portal of entry and no beta-hemolytic streptococci in specimens from conventional culture sites all had group G streptococci in cultures of specimens from the anal canal. It is suggested that anal colonization with group G streptococci, and possibly group A and other beta-hemolytic streptococci, may constitute a reservoir for streptococci in such cases.- - - - - - - - - - ranking = 5keywords = erysipelas (Clic here for more details about this article) |
3/30. Cutaneous manifestations of familial mediterranean fever.familial mediterranean fever (FMF) is frequently accompanied by erysipelas-like attacks. These should alert the physician to the correct diagnosis of this systemic disease. Several other nonspecific skin lesions may be seen in FMF. To our knowledge, histologic findings in erysipelas-like skin rashes seen in FMF are not reported elsewhere in the literature.- - - - - - - - - - ranking = 2keywords = erysipelas (Clic here for more details about this article) |
4/30. Wound erysipelas following appendectomy caused by group B beta-hemolytic Streptococcus (streptococcus agalactiae).BACKGROUND: Case description of a patient who developed erysipelas of the surgical wound following appendectomy for acute appendicitis, and literature review of invasive group B streptococcal infections. methods: A 65-year-old man with perforated appendicitis underwent urgent appendectomy and drainage. antibiotic prophylaxis with tobramycin (100 mg) and metronidazole (500 mg) was administered. At surgery, a phlegmon was identified with free perforation of the appendix and purulent peritoneal fluid. appendectomy, irrigation with 0.9% NaCl solution, and drainage with a Silastic closed-suction drain was performed. A literature search in all languages was performed using medline, using the search terms surgical site infection, wound infection, group B streptococcus, streptococcus agalactiae, necrotizing fasciitis, and postoperative infection. RESULTS: erysipelas of the surgical wound developed on the fourth postoperative day. Intravenous penicillin and amoxicillin/clavulanic acid were administered empirically. culture of the wound drainage identified streptococcus agalactiae and a few colonies of escherichia coli. The broad-spectrum antibiotic was discontinued, and a 10-day course of penicillin was completed. CONCLUSIONS: erysipelas of the surgical wound is unusual, and infection with group B streptococci is rare compared with infection by group A streptococci. streptococcus agalactiae is recognized to be increasingly virulent, with an increasing predilection for bacteremic infections in healthy hosts. Although streptococcus agalactiae remains highly susceptible to antimicrobial agents effective against gram-positive cocci, the changing epidemiology and potentially invasive nature of these infections should have clinicians alert to the possibility of infection caused by group B streptococci.- - - - - - - - - - ranking = 5keywords = erysipelas (Clic here for more details about this article) |
5/30. Osteoarticular complications of erysipelas.BACKGROUND: Rare osteoarticular complications occurring after erysipelas have been reported. We describe 9 patients in whom various osteoarticular complications developed during erysipelas. OBJECTIVE: We sought to analyze osteoarticular complications during erysipelas, paying special attention to clinical, bacteriologic, and radiologic data. methods: Data were retrospectively recorded from the files of patients seen in 3 dermatologic centers between 1998 and 2000. They included laboratory tests, bacteriologic cultures, radiologic investigations, and treatment modalities and outcome of both erysipelas and osteoarticular complications. RESULTS: We observed 9 patients (7 men and 2 women; mean age 49.6 years) who first presented with typical erysipelas of the lower limb and then osteoarticular complications developed during the course of their disease, always localized to a joint contiguous to the erysipelas plaque. These complications included: relatively benign complications, ie, bursitis (n = 5) or algodystrophy (n = 1), occurring after erysipelas with favorable course; and more severe complications, ie, osteitis (n = 1), arthritis (n = 1), and septic tendinitis (n = 1), occurring after erysipelas characterized by local cutaneous complications (abscess, necrosis). CONCLUSIONS: Osteoarticular complications of erysipelas can be divided into the 2 groups of nonseptic complications (mainly bursitis), which are characterized by a favorable outcome, and septic complications (osteitis, arthritis, tendinitis), which require specific, often prolonged treatment and, sometimes, operation. Their diagnosis is on the basis of clinical and radiologic findings rather than joint aspirations, which are usually not possible through infected skin tissue.- - - - - - - - - - ranking = 13keywords = erysipelas (Clic here for more details about this article) |
6/30. Arthroscopic treatment of septic arthritis in a patient with posterior stabilized total knee arthroplasty.We report on a case of arthroscopic treatment of septic arthritis of the knee in a 73-year-old woman with a posterior stabilized knee endoprosthesis. Six months after arthroplasty of the right knee joint because of osteoarthritis, the patient experienced an erysipelas of the right lower leg after a cat bite. Although given intravenous antibiotic therapy, the patient developed septic arthritis of the right knee. pasteurella multocida could be identified as the causative organism. The joint infection was classified as stage I according to Gachter. Via arthroscopic joint debridement, partial synovialectomy, the use of continuous irrigation-suction drains, and intravenous antibiotic therapy, the empyema could be cured without removal of the total endoprosthesis of the right knee.- - - - - - - - - - ranking = 1keywords = erysipelas (Clic here for more details about this article) |
7/30. Recurrent hemolysis-associated pseudoerysipelas of the lower legs in a patient with congenital spherocytosis.A 29-year-old patient presented with recurrent erythematous eruptions on both lower legs of 15 years' duration. family history, along with clinical and laboratory examinations, revealed congenital hereditary spherocytosis and excluded other reasons for the erythematous eruptions of the lower legs. During two subsequent episodes, we detected increased hemolysis that disappeared concomittantly on spontanous resolution of the lesions. To our knowledge, this case is the first report showing a recurrent erythematous eruption on the lower legs in a patient with congenital hereditary spherocytosis. These eruptions might be caused by intermittent hemolysis-induced inflammation as a result of the increased osmotic fragility of the erythrocytes and may evolve to chronic leg ulcers later in life.- - - - - - - - - - ranking = 4keywords = erysipelas (Clic here for more details about this article) |
8/30. helicobacter cinaedi-associated bacteraemia and erysipelas in an immunocompetent host: a diagnostic challenge.helicobacter cinaedi was initially recovered from homosexual men infected with human immunodeficiency virus. Later, it was also isolated from patients with chronic alcoholism, and anecdotally from non-immunocompromized men, women, and children. We describe a case of H. cinaedi-associated bacteraemia and erysipelas in a homosexual but immunocompetent male and the diagnostic problems in identifying the causative organism.- - - - - - - - - - ranking = 5keywords = erysipelas (Clic here for more details about this article) |
9/30. Severe relapsing erysipelas associated with chronic streptococcus agalactiae vaginal colonization.We report a case of severe recurrent erysipelas of the breast due to infection with streptococcus agalactiae and demonstrate that strains isolated from the skin were closely related to strains isolated from the vagina, which is consistent with the claim that the vagina acts as a reservoir for S. agalactiae isolates that are responsible for erysipelas relapse. Hypervirulence of strains and persistence of a bacterial reservoir may explain why 5 months of prophylaxis with penicillin v (1 million U daily) was necessary to achieve permanent eradication of vaginal carriage and to prevent recurrence of erysipelas caused by S. agalactiae infection.- - - - - - - - - - ranking = 7keywords = erysipelas (Clic here for more details about this article) |
10/30. erysipelas of the left upper limb occurring after elbow dislocation.BACKGROUND: erysipelas is an acute infection occurring chiefly in the lower limbs, rarely in the upper limbs. observation: A 45-year-old patient suffering from charcot-marie-tooth disease with neuropathy of the limbs, presented with fever and a 24-hour history of a well-circumscribed inflammatory and infiltrated plaque of the left arm. erysipelas was diagnosed and intravenous penicillin was administered leading to regression of the inflammatory signs, however edema persisted in the inner part of the left elbow. An x-ray showed left elbow dislocation. The patient revealed trauma of the left upper limb 5 weeks before. DISCUSSION: The occurrence of erysipelas is usually associated with lymphatic edema or venous incontinence. Lymphatic lesions due to radiotherapy or surgery may afflict draining vessels leading to venous and lymphatic stasis and then infection occurs. We find no reported cases of erysipelas following elbow dislocation but we postulate its pathogenesis to be similar.- - - - - - - - - - ranking = 2keywords = erysipelas (Clic here for more details about this article) |
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