Erysipelas

dok_zlo — 31.10.2024

A 44-year-old man with Crohn’s disease that was being treated with infliximab presented to the primary care clinic with a 2-day history of a rash on his face. In the week before presentation, his daughter had had a sore throat and his mother had had a similar rash on her face. His heart rate was 96 beats per minute, and his temperature was 36.6°C (97.9°F). Physical examination was notable for well-demarcated, warm, erythematous, confluent plaques across the cheeks, nose, and glabella, with a dimpled (peau d’orange) appearance of the skin. The pharynx was normal, and no cervical lymphadenopathy was observed. A diagnosis of erysipelas — a skin infection that involves the upper dermis — was made. Erysipelas typically manifests as a bright-red rash — often on the malar region of the face — with raised, distinct borders. Most cases can be managed with oral antibacterial agents in the outpatient setting. Blood cultures, which are not usually required for this diagnosis, were obtained in this case owing to the patient’s immunosuppression. The blood cultures grew Streptococcus pyogenes, so the patient was admitted to the hospital. Treatment was changed from oral cephalexin to a 2-week course of intravenous penicillin G potassium. After 5 days of antibacterial therapy, the patient’s rash resolved.

DeepL Переводчик

Крепкого здоровья!

Оставить комментарий

Популярные посты:

vitellius

Щиты монтажные сборные: конструкция, компоненты и практическое применение

olesya11am

Д̶е̶н̶ь̶ ̶С̶в̶я̶т̶о̶г̶о̶ ̶В̶а̶л̶е̶н̶т̶и̶н̶а̶?̶ ̶

katia_lexx

Обложки сатирического журнала «Панч» 1960 года

iglokott

Купила микроволновку

elmaspb

С видом на море

dm_bond

СЁДНЯШНЕЕ// (Очковое_#2)

hardsign

О государственном управлении и евклидовой геометрии

popugaichik

а где на самом деле стоял телевизор в комнате в СССР?

uborshizzza

Посол, хитрый врач и то, что не тонет

• Ранее
• Архив