home Drugs Disease erysipelas on the leg symptoms treatment. Erysipelas on the leg - photos, symptoms and treatment. List of preventive measures after recovery

Disease erysipelas on the leg symptoms treatment. Erysipelas on the leg - photos, symptoms and treatment. List of preventive measures after recovery

According to statistics, every fourth person on the planet suffered from erysipelas. A tendency to relapse is observed in a large number of patients: a third of patients are re-treated within six months, and in some the course of the disease does not stop for up to three years.

Erysipelas infection of the skin on the legs most often affects the lower leg area. The causative agent of the pathology is group A beta-hemolytic streptococcus. This strain belongs to the category of opportunistic microflora, which is present in small quantities on the surface of the skin and mucous membranes of any person.

Once on the skin, the microorganism begins to actively interact with cells in search of a “gate” for the infection to enter.

Any abrasions, cuts, scratching serve as an excellent environment for the introduction of the pathogen into the subcutaneous layers. If a person has good immunity, then streptococcus does not pose a health hazard.

In weakened people, insufficient body resistance gives rise to an active pathological effect of the microorganism with the development of certain painful conditions.

Particular activity in the spread of erysipelas is observed in summer and autumn. When introduced into the skin, streptococcal toxins are absorbed into the cells and cause swelling and redness. In case of repeated cases of pathology occurring in one place, it indicates an allergic background.

In addition to the disease called erysipelas, beta-hemolytic streptococcus causes infectious and inflammatory diseases of the upper respiratory tract: sore throat, laryngitis, pharyngitis, rheumatism and other pathologies.

Erysipelas on the legs is often associated with vascular pathologies of the lower extremities, disorders of the outflow of lymphatic fluid, thrombophlebitis, etc. Frequent recurrences of erysipelas on the legs contribute to the development of elephantiasis and lymphostasis.

At-risk groups

More than half of those infected are women over 50 years of age. This tendency in most cases is associated with damage to the veins of the lower extremities. is a concomitant factor for the occurrence of erysipelas on the leg.
Infants can become infected due to poor umbilical wound care.
There is an opinion among doctors that erysipelas most often affects people with blood group 3.
People of all ages, weakened after frequent illnesses, experience a deficiency of immunity. Streptococcus, without encountering active resistance, actively multiplies, after which an active form of pathology develops. Pathogenic microflora causes sensitization of the body, which in response begins to actively produce immunoglobulin E, which binds foreign protein compounds.
Persons experiencing regular stress shocks.

Causes of erysipelas

Is erysipelas on the leg contagious to others? Yes, you can get erysipelas if your immune system is poor. One of the main causes of infection is a violation of the integrity of the skin on the legs in the form of abrasions, scratches, cuts, and wounds. The pathogen penetrates the epidermis and erysipelas begins to actively develop.

Pustular skin diseases contribute to the development of the pathological process: ulcers, non-healing fistulas, phlegmon. Erysipelas joins the existing infection as a complication to the affected part of the body.

Weeping eczema and an allergic rash are often a favorable environment for the development of pathology. Constantly forces the patient to scratch the location of the rash, after which active streptococcus causes a disease called erysipelas.

The toxic effect of the pathogen, in turn, acts as a sensitizer, increasing the production of histamine in the blood, which is the cause of allergies. This condition should be treated and monitored by a doctor.

Hemolytic streptococcus can be an independent allergen; therefore, with constant contact for a long time, a person may develop anaphylactic shock.

Chronic foci of infection that develop as a result of untreated caries, enlarged tonsils, and the presence of adenoids contribute to the appearance of erysipelas, including on the legs.

Exposure to cold, leading to hypothermia of the skin of the legs, as well as prolonged exposure to the sun leads to the appearance of microtraumas that disrupt the protective function of the skin.

The tendency to worry, irritability and worry negatively affects the human body, causing a weakened immune system. At the time of staphylococcus attack, T-lymphocytes do not have time to cope with the infection, and the person develops erysipelas.

Some diseases serve as additional risk factors:

in patients with diabetes mellitus there is a medical concept “”, which manifests itself on the skin of the lower extremities;
arising from thrombophlebitis;
skin on legs;
smoking and alcoholism;
excess weight.

The causative agent of erysipelas on the legs

How is the infection transmitted? Erythema infectiosum is caused by streptococcus. The spherical bacterium is ubiquitous, resistant to environmental influences, and becomes inactive at temperatures above 45 degrees.

Streptococci are transmitted by contact with dirty hands, household items and personal hygiene items. In small quantities, the bacterium does not have a pathological effect.

When the function of the immune system is impaired, an inflammatory reaction begins; with normal health indicators, a person becomes a carrier of streptococcus. The microorganism lives on the skin without posing a threat, but only until the person has a good immune system.

Harm caused to humans by streptococcus:

destroys the structure of human cells;
causes thyroid and thymus hormones to synthesize a large number of cytokines, which result in inflammation;
actively fights antibodies against streptococcus, the number of which decreases, and streptococci actively multiply, causing pathology;
dilate blood vessels and reduce permeability, which leads to the appearance of edematous areas at the site of inflammation;
suppresses immune activity, reducing the number of antibodies that can prevent the development of pathology.

Symptoms of erysipelas

Erysipelas on the legs has an acute onset with violently expressed symptoms. The pathogen causes not only local inflammation; the disease affects the entire body.

Manifestation of erysipelas on the legs:

Diagnostics

Which doctor treats erysipelas of the leg? When the first symptoms appear, in order to differentiate erysipelas, you need to consult a competent dermatologist. During the examination, the doctor will advise you to contact an infectious disease specialist if the patient’s condition requires it.

Diagnosis begins with collecting anamnesis and visual examination of the patient. The doctor uses questions to find out the symptoms and possible causes of erysipelas on the leg.

The second stage is an examination of external skin lesions: the structure and extent of erythema, the presence of associated infection, enlargement of large lymph nodes in the groin area.

A blood test is prescribed as a laboratory test. What indicators of the study indicate the presence of erysipelas:

ESR levels will be significantly increased, which indicates an inflammatory process;
neutrophils indicate the presence of an allergic reaction, therefore, with increased values of the latter, the doctor determines sensitization of the body.

To determine the antibiotic that will be effective for this type of infection, a bacteriological examination of the skin is carried out.

Determination of sensitivity is determined in a tank laboratory by culture. Skin particles for examination are taken directly from the affected areas.

Forms of erysipelas on the legs

Based on the appearance of the external infectious manifestations, they are distinguished:

The erythematous form occurs in the form of uncomplicated redness.
Erythematous-hemorrhagic - numerous hemorrhages in the form of dots are observed on the redness.
The erythematous-bullous form is accompanied by the appearance of exfoliated skin on a hyperemic surface. This symptom appears on the 3rd day of the disease, after some time they fill with a clear liquid.
Bullous-hemorrhagic - the resulting blisters are filled with blood poisoning.
The gangrenous form got its name because of the necrotic areas of the skin of the legs after erysipelas.

There are three degrees of severity of erysipelas on the leg:

Mild – small erythema, hyperthermia within 38.5C.
Medium – the lesion occupies a large area of the lower leg; there may be the formation of several lesions. Body temperature rises no more than 5 days to forty degrees.
Severe – huge erythema is covered with blood blisters, high degree of hyperemia is observed for up to 10 days. The patient is likely to experience seizures and meningeal syndrome.

After the acute period subsides, the infected skin heals, remaining painful and vulnerable. Such areas remain susceptible to streptococcal infection for a long time, leading to re-infection. The recurrent form is dangerous due to the development of complications due to the regular effects of streptococcus on the body.

The wandering form of erysipelas is considered one of the most dangerous. Within a few days, staphylococcus affects healthy tissue in different parts of the lower limb. While one area is healing, erythema appears on another.

This type of infection is especially dangerous for newborns, who can die from erysipelas.

Treatment of erysipelas of the leg

Despite the severity of the infectious disease, treatment of erysipelas is successfully carried out at home. Doctors recognize the fact that traditional healers can cure erysipelas using traditional methods, but with the caveat that this is only a mild manifestation of the pathology.

No conspiracies can replace antibiotics with their antibacterial effect for erysipelas of the leg.

After diagnosis, the doctor individually prescribes comprehensive treatment . For the treatment of erysipelas, measures can be divided into local procedures and general therapy.

General drug treatment

Antibiotics are the main treatment for erysipelas. A specific drug should be prescribed by the treating doctor after a study has been conducted to determine the sensitivity of streptococcus to a specific type of antibiotic. To date, penicillin antibiotics, chloramphenicol, tetracycline, and ceftriaxone for erysipelas on the leg have not lost their effectiveness.
Antiallergic drugs will relieve allergy symptoms and help stabilize the general condition. Suprastin, Tavegil, Loratadine are prescribed as tablets or injections depending on the type of manifestation of sensitization in the body.
Sulfonamide drugs enhance the effect of antibiotics and are taken in parallel to enhance the treatment of erysipelas on the leg with antibiotics.
Glucocorticoids are necessary for the development of lymphostasis; they also have a good antihistamine effect, but it is not advisable to use them without a doctor’s prescription.
Biostimulants and immunomodulators improve the function of the immune system, increasing the body's resistance to infection.
A multivitamin complex that strengthens and maintains the general condition of the body.
Thymus preparations increase the synthesis of T-lymphocytes, enhancing immune function.

All of the above points can be used to treat erysipelas on the leg at home, if the doctor has received appropriate permission for outpatient therapy. Complex cases must be treated in a hospital setting.

Local treatment of erysipelas at home

In addition to normalizing the general condition, erysipelas of the leg is treated with local medication, which promotes rapid healing of the skin of the legs. An undertreated condition of the affected area will subsequently lead to relapse.

What procedures can be done at home:

Lotions with dimexide effectively remove inflammation, relieve pain, and have an antibacterial effect. Treatment consists of moistening a gauze pad in a 50% dimexide solution and applying it to the affected area. Applications are carried out 2 times a day for 2 hours, and the size of the napkin should be significantly larger than the affected area.

To treat erysipelas on the leg at home, you can prepare enteroseptol powder. The tablets should be crushed in a mortar and applied to dry, clean skin. The powder will not only prevent further spread of the infection, but will also prevent the infection from joining.
You can treat erysipelas on the leg with compresses with furatsilin. Moisten a gauze pad in a freshly prepared furatsilin solution and place it on the area of erythema for 3 hours. Furacilin penetrates deep into the skin layers, destroying the infection.
Oxycyclosol aerosol is prescribed by doctors to create a barrier film against infection. The medicine is sprayed onto the area of erythema, holding the can at a distance of 20 cm from the skin.
The use of ichthyol ointment or Vishnevsky's liniment for erysipelas on the legs is prohibited. Ointment for erysipelas of the leg promotes additional soaking of the affected surface and delays the recovery process. It is more advisable to use ointment for erysipelas on the leg for uncomplicated conditions based on antibiotics.

In addition to home treatment methods, it is good to add physiotherapeutic procedures, some of which can be done at home if you purchase the appropriate medical equipment:

ultraviolet irradiation using UOFK-01 “Solnyshko”;
infrared therapy;
magnetotherapy.

To conduct sessions of electrophoresis and paraffin wraps, you will have to sign up for a physiotherapy office. Compliance with treatment and doctor’s recommendations gives an excellent prognosis for recovery.

How to avoid getting erysipelas

To prevent infection, you will need to adhere to simple rules: personal hygiene, good nutrition, regular hardening and taking strengthening vitamins. If microtraumas or pustules appear on the skin of the legs, timely antiseptic treatment and treatment of wounds.

Erysipelas of the legs is a common problem. Is erysipelas of the leg contagious? Streptococcus is present in small quantities on surrounding objects; as long as a person has a strong immune system, he is not at risk of infection.

Therefore, timely treatment of caries, chronic tonsillitis, and adenoids will significantly reduce the risk of developing infectious erythema erysipelas.

About the author: Andrey Stepanovich

Millions of people around the world become infected with infectious diseases every day. One of them is erysipelas, which has long been known to medicine.

Erysipelas - what is it?

Erysipelas is an acute infectious disease caused by beta-hemolytic streptococcus. It is characterized by the appearance of redness on the skin, accompanied by fever and general intoxication of the body (including headache, weakness and nausea).

There are 2 forms of erysipelas:

Erythematous. In other words, the initial stage. The patient experiences a burning sensation, pain, and the area of inflammation becomes swollen and hot. Sometimes pinpoint hemorrhages occur.
Bullous. Characterized by the presence of blisters containing clear liquid. After a few days they dry out, forming a crust on the skin.

In both forms, inflammation is accompanied by damage to the lymphatic system.

Important! Primary erysipelas most often appears on the face, while relapses of the disease “favor” the lower limbs of a person. The duration of the disease is 5 - 8 days. Residual manifestations of erysipelas can remain for life if you do not seek the help of cosmetologists.

Features of the structure of the skin on the legs, arms and face

The skin is the largest human organ, consisting of three layers. It weighs approximately 15% of the total body weight. She has various structural features on her legs, arms and face. For example, the skin on the soles of the feet has a high concentration of sweat pores. This is where its layers are thickest.

The skin on the palms lacks hair follicles and sebaceous glands. The inner side of the hands is distinguished by great elasticity, thinness and softness. On the face, or more precisely on the eyelids, there is the thinnest layer of skin on the entire human body. In the area of the eyelids, ears, forehead and nose, the skin does not have a lower layer. Facial skin is the most susceptible to aging.

Causes of the disease

Erysipelas - is it contagious to others? The cause of the disease is a streptococcal infection that has entered the soft tissue. Its source is streptococcus carrier. Most often, the “entrance door” for microorganisms into the human body is minor injuries, abrasions, cuts in the skin or mucous membranes.

Who is at risk?

According to statistics, people over 18 years of age most often suffer from erysipelas. Moreover, in 65% of cases, doctors diagnose erysipelas in people over 50 years of age. Often, men and women whose work involves microtrauma and skin contamination become infected. Erysipelas can also be caused by neglect of personal hygiene.

Symptoms of erysipelas

There are 7 main symptoms of erysipelas:

Development of fever(convulsions, delirium).
Manifestation of symptoms of intoxication(including headache, chills).
On limited areas of skin there is a burning sensation, itching. Painful sensations appear when interacting with this area. Over time, the skin becomes redder. After a few days, swelling occurs and the pain intensifies.
Insomnia.
Fever.
Nausea and vomiting.
Muscle weakness.

Erysipelas in a child - the first signs

Erysipelas in children almost always occurs in the spring and autumn. The initial phase in children passes faster and more acutely than in adults. However, the first signs and symptoms of the disease are the same. The only distinctive feature is heartburn, which is experienced by 99% of children infected with the infection.

Important! Girls get sick twice as often as boys.

Diagnostic measures

Diagnosis of erysipelas is based on clinical symptoms and laboratory test results that indicate the presence of a bacterial infection. After this, the dermatologist draws up a treatment plan.

Treatment

How to treat erysipelas? There are several methods for treating erysipelas. All of them are divided into 3 types:

Drug treatment. It has been scientifically proven that hemolytic streptococci, which provoke the disease, are highly sensitive to nitrofurans, penicillin antibiotics and sulfonamides. This means that medications that contain: penicillins, erythromycin, oleandomycin, clindamycin will be useful in the fight against the disease. They can be taken either orally or by injection. Treatment lasts 5-7 days. After 1-3 days from the moment it began, the temperature returns to normal, the inflamed areas gradually turn pale. After 10 days, the antibacterial agent Biseptol is prescribed. For topical use, that is, directly for use on affected areas of the skin, the doctor prescribes erythromycin ointment and powder in the form of crushed tablets, which contain enteroseptol. Drug treatment is often supplemented with biostimulants and vitamins.
Physiotherapy. In this case, we are talking about ultraviolet irradiation, which has a bacteriostatic effect on active bacteria. It is often prescribed to patients with erythematous erysipelas. Ultrahigh-frequency and laser therapy are sometimes used to treat relapses of the disease. But short-term freezing of the surface layers of the skin with a jet of chlorethyl until whitening, in combination with antibacterial therapy, is practiced in cases where the disease is particularly acute.
Surgery. It is worth noting that the need for this method of treatment arises when the patient has a bullous form of erysipelas or purulent-necrotic complications arise. During the operation, the bullae are opened and the pathological fluid is evacuated. Only antiseptic agents are used locally.

Prevention

First of all, it is necessary to monitor the cleanliness of the skin, treat various wounds and cracks, and promptly treat pustular diseases. And also, during medical procedures, observe asepsis and use only sterile instruments. Then the risk that a person will experience erysipelas is minimized.

Consequences of erysipelas

In addition to the typical residual effects of erysipelas, which include skin peeling and pigmentation, a more severe consequence can be lymphedema, that is, the accumulation of protein-rich fluid in the interstitial space. In this case, surgical intervention in combination with physical anti-edematous therapy is necessary.

Skin restoration after illness

Both cosmetology and independent fight against the consequences of the disease can help restore the skin after erysipelas. Before using any medications, it is better to consult a specialist.

Treatment of erysipelas at home - folk recipes

To combat the disease at home, they often use:

Pork fat. Apply it to the affected skin 2 times a day.
Kalanchoe juice. It is preserved with alcohol to a strength of no more than 20%, then a napkin is dipped in it and in a five percent novocaine solution, after which it is applied to the inflamed area.
Plantain. The plant is crushed and mixed with honey. After this, boil and apply a bandage with cooled ointment to the skin, changing it every 4 hours.

Important! Some of the remedies that people have been trying to treat erysipelas at home for several centuries not only do not contribute to recovery, but can also cause even greater harm to human health. These include, for example, injecting the affected area of skin with mercury salts.

Video: erysipelas in adults - causes and treatment.

Skin is the outer covering of the human body with an area of about 1.6 m2, which performs several important tasks: mechanical protection of tissues and organs, tactile sensitivity (touch), thermoregulation, gas exchange and metabolism, protection of the body from the penetration of microbes.

But sometimes the skin itself becomes the target of attack by microorganisms - then dermatological diseases develop, among which is erysipelas.

Erysipelas (erysipelas) - what is it?

Erysipelas is an acute diffuse inflammation of the skin (less commonly, mucous membranes) of infectious origin, usually affecting the face or legs.

Erysipelas is caused by beta-hemolytic group streptococcus A when it penetrates into the thickness of the skin through small abrasions, cuts, insect bites, scratches, and abrasions.

Erysipelas is more common in men of working age and in women over 45 years of age. For children under the age of one year, it poses a mortal danger (photo 3).

The prevalence of the disease is high - fourth place after acute respiratory infections, gastrointestinal infections and hepatitis.

Group A beta-hemolytic streptococcus

Group A β-hemolytic streptococcus (GABHS) itself was discovered relatively recently (150 years ago), but humanity has been familiar with the diseases it causes for a long time.

Sore throats, pharyngitis, laryngitis, scarlet fever, rheumatism, severe damage to kidney tissue - this is not a complete list of pathological conditions caused by GABHS. The Ministry of Health states that the damage to the economy from β-hemolytic streptococcus is 10 times greater than the damage from all viral hepatitis.

It belongs to the opportunistic microflora because it is present in almost all people in the oral cavity, respiratory tract, skin and external genitalia. Good immunity limits its virulence (degree of infectiousness).

GABHS spreads very quickly through the air, through the digestive tract and objects, so it is usually detected in rooms where children and work groups are present for a long time; 57.6% of sore throats and 30.3% of acute respiratory infections are caused by it.

Streptococci survive freezing and heating to 70° for 2 hours; in dried biomaterial (blood, pus) they remain highly infectious for several months. Toxins cause severe heart and kidney diseases.

For children, carriage of the pathogen in the upper respiratory tract is more common. When examining schoolchildren, GABHS is isolated in the nasopharynx of 20-25% of children.

Causes of erysipelas of the legs

The cause of erysipelas of the legs can be small ulcers, boils and carbuncles, and purulent wounds. The spread of dangerous streptococcus in the skin can be facilitated by frequent hypothermia of the legs or excessive sunbathing, causing microtrauma to the skin.

Erysipelas on the leg is very often a consequence of other serious diseases:

Stressful situations that sharply reduce immunity can give rise to an attack by streptococcus on its carrier.

Chronic foci of infection in the form of decayed teeth and enlarged tonsils increase the risk of erysipelas on any part of the body by 5-6 times.

Symptoms of erysipelas of the leg, photo

A week (on average) after the pathogen penetrates the skin, an acute onset of the disease occurs.

Signs of intoxication suddenly appear:

severe weakness
temperature up to 40°C with chills,
excruciating headache
aches in bones and muscles,
sometimes - nausea and vomiting.

Within 24 hours, symptoms of erysipelas appear on the lower leg: the affected area swells sharply, becomes shiny from tension and becomes red. The name “erysipelas” comes from the word “red” in some European languages.

The inflamed area is delimited from healthy skin by a demarcation roller. It is characterized by uneven scalloped outlines along the perimeter of the lesion. Severe redness of the skin is caused by hemolysis - the process of destruction of red blood cells (erythrocytes) by streptococcus.

When you apply pressure with your finger, the redness disappears for a few seconds. The lesion is warmer to the touch than the surrounding tissue.

Pain and burning cause severe suffering to the patient. The popliteal and inguinal lymph nodes become inflamed. Toward them from the affected area under the skin, dense reddish stripes are visible - lymphatic vessels, lymphangitis develops.

Diagnosis of erysipelas

Often the diagnosis is made without tests, based on a combination of general and local symptoms.

In other diseases, local symptoms often appear first, and only after them does intoxication appear.

Laboratory tests can confirm the presence of β-hemolytic streptococcus.

Forms of erysipelas of the leg

Based on the nature of local changes, the following are distinguished:

1. Erythematous form- the area has a bright, uniform color and clear boundaries.

2. Erythematous-hemorrhagic form- on the affected area, against the background of general redness (erythema), there are multiple pinpoint hemorrhages - a sign of damage to the blood capillaries.

3. Erythematous-bullous(bulla, lat. - bubble) form - with it, on the third day, the upper layers of the skin separate with the formation of blisters.

The liquid in them contains a large mass of streptococci with a high degree of virulence, therefore, when opening the blisters, it is necessary to carefully carry out antiseptic treatment. They heal with the formation of a crust, under which smooth skin is formed.

4. Bullous-hemorrhagic form - the blisters contain an opaque bloody fluid.

5. Gangrenous form with areas of skin necrosis.

Stands out wandering form, when within a few days the lesion moves to a neighboring area, and the primary lesion peels off and heals.

This form is typical for newborn children; if erysipelas spreads quickly, children can die.

According to the severity of the disease, they are distinguished:

mild form (the affected area is small, the temperature is not higher than 38.5°C),
moderate (several small affected areas, temperature up to 40°C for no more than 5 days)
severe form, when bullous-hemorrhagic elements cover almost the entire body, critical temperature for several days, loss of consciousness, delirium and signs of meningitis.

Even after healing, the inflamed area of the skin remains sensitive to streptococcal infection, which gives rise to the diagnosis of “recurrent” and “recurrent” erysipelas.

Mild forms of erysipelas can be treated on an outpatient basis. Severe and advanced cases require hospital treatment.

1) The first and main purpose is antibiotics in the form of intramuscular injections or orally. Penicillin antibiotics have retained their effectiveness in the fight against hemolytic streptococcus.

They are combined with taking oleandomycin, furazolidone, erythromycin for one to two weeks.

2) Their effect is enhanced by sulfonamide drugs (Biseptol).

3) Vitamins and biostimulants (levamisole, pentoxyl, methyluracil) must be prescribed to restore immunity and speed up healing of the lesion.

4) Non-steroidal drugs are prescribed as anti-inflammatory and antipyretic drugs: aspirin, diclofenac, ibuprofen, baralgin, reopirin.

5) In case of severe intoxication, glucose solution or reopirin is repeatedly administered.

6) To relieve intoxication, plenty of fluids and diuretics are prescribed.

7) Physiotherapeutic procedures:

ultraviolet irradiation in the acute period has a bacteriostatic effect;
lidase electrophoresis,
ozokerite,
magnetotherapy.

The last three procedures improve lymph flow, preventing the development of elephantiasis.

8) Sensitization of the body is prevented by taking antihistamines.

9) Sclerotherapy - the introduction of a substance into the affected veins that causes narrowing and resorption of the vessel - promotes the rapid healing of blisters and the healing of the inflamed area of the skin.

10) Endovasal laser coagulation - leads to the disappearance of the lumen in diseased veins, preventing the development of lymphostasis.

11) Surgical treatment of the lesion:

opening the blisters, treating them with furacillin solution, enteroseptol in the form of powder, erythromycin ointment;
cutting out inflamed veins and necrotic areas.

12) In severe cases, blood or plasma transfusions are performed.

Treatment of erysipelas of the leg is carried out by a doctor. To avoid complications, the patient must strictly follow all medical prescriptions, even during outpatient treatment.

When treating erysipelas at home It is important to know:

1) You cannot tightly bandage the affected area; only light bandages are allowed, which are changed several times a day after antiseptic treatment of the skin.

2) Do not use and - they increase the flow of interstitial fluid and slow down the healing process;
Excessive softening of the skin with ointments will lead to additional infection of the wounds.

3) After opening the blisters, you can treat the erosions with hydrogen peroxide and dry the skin under them with powder, which includes:

boric acid (3 g),
xeroform (12 g),
streptocide (8 g).

Cover the wound surface with two layers of gauze on top.

Complications of erysipelas

Erysipelas can go away on its own: after two weeks from the onset of the disease, the redness subsides, but swelling and pigmentation of the skin remains for a long time. There is a high probability of a repeat process.

With insufficiently active treatment, erysipelas causes general and local complications. It is especially dangerous for patients with diabetes, allergies, varicose veins and thrombophlebitis, with heart failure and HIV infection.

There is a risk of developing pneumonia, sepsis and meningitis.

Streptococcal toxins cause rheumatism, myocarditis and glomerulonephritis.

Local complications are phlegmon and abscesses, trophic ulcers and lymphostasis (elephantiasis), in which the volume of limb tissue sharply increases due to the accumulation of interstitial fluid and thickening of the skin.

Elephantiasis develops in 15% of all cases of erysipelas. It is accompanied by such phenomena as papillomas, eczema, lymphorrhea (lymph effusion from thickened pigmented skin). All this makes the patient’s life very difficult.

The prognosis after erysipelas on the legs depends on the severity of the disease and the body’s immunity.

Recurrent forms often develop when staphylococcal flora is also added to GABHS.

Due to acquired lymphostasis, ability to work may be reduced.

In general, the prognosis for the patient’s life is favorable if complications are avoided.

Prevention of erysipelas

There is no specific prevention. To prevent erysipelas, you must follow some general and local measures.

limit contact with patients with erysipelas, after contact, carry out antiseptic treatment of your skin;
take care of strengthening the immune system by establishing a daily routine, exercising, and avoiding stressful situations;
timely eliminate foci of chronic streptococcal infection, monitor health status;
establish proper healthy nutrition - hemolytic streptococcus multiplies quickly in stale food, giving particular preference to meat broths;
To avoid relapses after erysipelas, carry out preventive injections of bicillin year-round.

Local measures:

pay more attention to your feet - wash them regularly, avoid calluses and abrasions, minor cuts, hypothermia and overheating;
monitor the condition of the venous system and contact a specialist in a timely manner.

Erysipelas ICD 10

In the international classification of diseases ICD 10, erysipelas is:

Class I
- A30 - A49 Other bacterial diseases

A46 Erysipelas (Erysipelas)

Erysipelas (or simply erysipelas) is one of the bacterial infections of the skin that can affect any area of the skin and leads to the development of severe intoxication. The disease progresses in stages, due to which a mild form, which does not affect the quality of life, can become severe. Prolonged erysipelas without proper treatment will ultimately lead to the death of the affected skin and suffering of the entire body.

It is important that if there are characteristic symptoms of erysipelas, the patient consults a doctor, and does not treat himself, waiting for the disease to progress and complications to develop.

Causes of erysipelas

For erysipelas to occur, three conditions must be met:

Presence of a wound – there does not need to be extensive soft tissue damage for bacteria to penetrate the skin. A scratch, “cracking” of the skin of the legs or a small cut is enough;
If a certain microbe gets into the wound, it is believed that erysipelas can only be caused by hemolytic streptococcus A. In addition to local damage to the skin, it produces strong toxins and disrupts the functioning of the immune system. This is manifested by intoxication of the body and the possibility of erysipelas recurrent (appearing again after a certain time);
Weakened immunity – this factor is of great importance for the development of skin infections. Erysipelas practically does not occur in healthy people whose immunity is not weakened by another disease or harmful living conditions (stress, physical/mental overload, smoking, drug addiction, alcohol, etc.).

Despite the fact that the disease can occur in any person, under the above conditions, it is mainly the elderly who suffer. Also at risk are infants with diabetes, HIV, any cancer pathology, or taking glucocorticosteroids/cytostatics.

What is erysipelas?

There are several forms of erysipelas, which differ in the severity of symptoms, severity and treatment tactics. It should be noted that they can sequentially transform into one another, so it is important to start treatment in a timely manner.

In principle, the following forms of the disease should be distinguished:

Erythematous erysipelas - manifests itself with classic symptoms, without any additional skin changes;
Bullous form - characterized by the formation of blisters on the skin with serous contents;
Hemorrhagic (bullous-hemorrhagic) - the peculiarity of this type of erysipelas is that the infection damages small blood vessels. Because of this, blood sweats through their wall and forms blisters with hemorrhagic contents;
Necrotic is the most severe form, in which necrosis of the affected skin occurs.

Depending on the location, the erysipelas can be on the face, leg, or arm. Much less often, the infection forms in the perineum or other parts of the body.

Beginning of erysipelas

From the moment the wound becomes infected until the first symptoms appear, on average, 3-5 days pass. Symptoms of erysipelas of the skin of the face, arms, legs and any other localization begin with a rise in temperature and soreness of the affected area. As a rule, on the first day of illness there is a fever of no more than 38 o C. Subsequently, the body temperature can rise to 40 o C. Due to the action of streptococcus, the patient has all the characteristic signs of intoxication of the body:

Marked weakness;
Decreased/loss of appetite;
Increased sweating;
Increased sensitivity to bright light and irritating noise.

A few hours after the temperature rises (up to 12 hours), symptoms of damage to the skin and lymphatic structures appear. They differ somewhat, depending on the location, but they have one thing in common - pronounced redness of the skin. The erysipelas may spread beyond the affected area, or remain in only one area. This depends on the aggressiveness of the microbe, the body’s resistance to infection and the time of initiation of therapy.

Local symptoms of erysipelas

Common signs of erysipelas on the skin are:

Severe redness of the affected area (erythema), which rises slightly above the surface of the skin. The erythema is delimited from healthy tissues by a dense ridge, but with widespread erysipelas it may not be present;
Pain when palpating the area of redness;
Swelling of the affected area (feet, legs, face, forearms, etc.);
Soreness of the lymph nodes near the site of infection (lymphadenitis);
In the bullous form, transparent blisters may appear on the skin filled with blood or serous fluid (plasma).

In addition to the general symptoms, erysipelas has its own characteristics when localized in different parts of the body. They must be taken into account in order to suspect an infection in time and begin treatment in a timely manner.

Features of erysipelas of the facial skin

The face is the most unfavorable location for infection. This area of the body is very well supplied with blood, which contributes to the development of severe edema. Lymphatic and blood vessels connect superficial and deep structures, which makes it possible to develop purulent meningitis. The skin of the face is quite delicate, so it is damaged by infection somewhat more severely than in other localizations.

Considering these factors, it is possible to determine the characteristics of the symptoms of erysipelas on the face:

The soreness of the infected area increases with chewing (if the erysipelas is located in the lower jaw or on the surface of the cheeks);
Severe swelling not only of the reddened area, but also of the surrounding facial tissues;
Pain when palpating the sides of the neck and under the chin is a sign of inflammation of the lymph nodes;

Symptoms of intoxication when the skin of the face is infected are more pronounced than in other localizations. On the first day, body temperature may rise to 39-40 o C, severe weakness, nausea, severe headache and sweating may appear. Erysipelas on the face is a reason to immediately consult a doctor or the emergency room of a surgical hospital.

Features of erysipelas on the leg

There is a belief among doctors that erysipelas of the lower limb is closely related to violation of personal hygiene rules. Lack of regular foot washing creates excellent conditions for the proliferation of streptococci. In this case, one microtrauma (crack in the feet, small scratch or puncture) is enough for them to penetrate the skin.

Features of the clinical picture of erysipelas in the leg area are as follows:

The infection is located on the foot or lower leg. The hip is affected quite rarely;
As a rule, in the area of the inguinal folds (on the front surface of the body, where the thigh meets the torso) you can find painful round-shaped formations - these are inflamed inguinal lymph nodes that inhibit the spread of streptococcal infection;
With severe lymphostasis, swelling of the leg can be quite severe and spread to the foot, ankle joint and lower leg. It is quite easy to detect - to do this, you need to press the skin against the bones of the lower leg with your finger. If there is swelling, then after the finger is removed the dimple will remain for 5-10 seconds.

In most cases, erysipelas of the lower extremities is much easier than with other infection locations. The exceptions are necrotic and complicated forms.

Features of erysipelas on the hand

Streptococcal infection affects the skin of the hands quite rarely, since it is quite difficult to create a large concentration of microbes around the wound. Erysipelas on the upper limb may be the result of a puncture or cut by a contaminated object. The risk group includes children of preschool and school age and intravenous drug addicts.

Erysipelas on the hand is most often common - it affects several segments (hand and forearm, shoulder and forearm, etc.). Since the lymphatic pathways are well developed on the upper limb, especially in the axillary fossa, swelling can spread from the fingers to the pectoral muscles.

If you palpate the inner surface of the shoulder or armpits, regional lymphadenitis can be detected. Lymph nodes will be enlarged, smooth, and painful.

Diagnostics

The doctor can determine the presence of erysipelas after an initial examination and palpation of the affected area. If the patient does not have concomitant diseases, it is sufficient to use only a general blood test among additional diagnostic methods. The presence of infection will be indicated by the following indicators:

Erythrocyte sedimentation rate (ESR) is more than 20 mm/hour. During the height of the disease, it can accelerate to 30-40 mm/hour. Normalizes by the 2-3rd week of treatment (normal – up to 15 mm/hour);
Leukocytes (WBC) – more than 10.1*10 9 /l. An unfavorable sign is considered to be a decrease in the level of leukocytes less than 4*10 9 /l. This indicates the body's inability to adequately resist infection. It is observed in various immunodeficiencies (HIV, AIDS, blood cancer, consequences of radiation therapy) and in generalized infections (sepsis);
Red blood cells (RBC) - a decrease in level below normal (less than 3.8 * 10 12 / l in women and 4.4 * 10 12 / l in men) can be observed with hemorrhagic erysipelas. In other forms, as a rule, it remains within normal limits;
Hemoglobin (HGB) – can also decrease in the hemorrhagic form of the disease. The norm is from 120 g/l to 180 g/l. A decrease in the level below normal is a reason to start taking iron supplements (if prescribed by a doctor). A decrease in hemoglobin level below 75 g/l is an indication for whole blood or red blood cell transfusion.

Instrumental diagnostics are used in case of impaired blood flow to the limb (ischemia) or the presence of concomitant diseases, such as obliterating atherosclerosis, thrombophlebitis, thromboangiitis, etc. In this case, the patient may be prescribed Doppler ultrasound of the lower extremities, rheovasography or angiography. These methods will determine vascular patency and the cause of ischemia.

Complications of erysipelas

Any erysipelas infection, if treatment is not started in a timely manner or the patient’s body is significantly weakened, can lead to the following complications:

An abscess is a purulent cavity that is bounded by a capsule of connective tissue. It is the least dangerous complication;
Cellulitis is a diffuse purulent focus in soft tissues (subcutaneous tissue or muscles). Leads to damage to surrounding structures and a significant increase in symptoms of intoxication;
Purulent phlebitis is inflammation of the vein wall on the affected limb, which leads to its hardening and narrowing. Phlebitis is manifested by swelling of the surrounding tissues, redness of the skin over the vein and an increase in local temperature;
Necrotizing erysipelas - necrosis of the skin in the area affected by streptococcus;
Purulent meningitis - can occur when erysipelas is located on the face. This is a serious disease that develops due to inflammation of the membranes of the brain. It manifests itself as general cerebral symptoms (unbearable headache, clouding of consciousness, dizziness, etc.) and involuntary tension of certain muscle groups;
Sepsis is the most dangerous complication of erysipelas, which in 40% of cases ends in the death of the patient. This is a generalized infection that affects organs and leads to the formation of purulent foci throughout the body.

You can prevent the formation of complications if you seek medical help in a timely manner and do not treat yourself. Only a doctor can determine the optimal tactics and prescribe therapy for erysipelas.

Treatment of erysipelas

Uncomplicated forms of erysipelas do not require surgery - they are treated conservatively. Depending on the patient’s condition, the need for hospitalization is decided. There are clear recommendations only regarding erysipelas on the face - such patients should be treated only in a hospital.

The classic treatment regimen includes:

Antibiotic - a combination of protected penicillins (Amoxiclav) and sulfonamides (Sulfalene, Sulfadiazine, Sulfanilamide) has the optimal effect. Ceftriaxone can be used as an alternative drug. The recommended period of antibacterial treatment is 10-14 days;
Antihistamine - since streptococcus can compromise the body's immunity and cause allergic-like reactions, this group of drugs should be used. Currently, the best (but expensive) drugs are Loratadine and Desloratadine. If the patient does not have the opportunity to purchase them, the doctor may recommend Suprastin, Diphenhydramine, Clemastine, etc. as an alternative;
Painkiller – for erysipelas, non-hormonal anti-inflammatory drugs (NSAIDs) are used. Preference should be given to Nimesulide (Nise) or Meloxicam, as they have the least number of adverse reactions. An alternative is Ketorol, Ibuprofen, Diclofenac. Their use should be combined with taking Omeprazole (or Rabeprazole, Lansoprazole, etc.), which will help reduce the negative impact of NSAIDs on the gastric mucosa;
Antiseptic dressings with 0.005% Chlorhexidine are an important component of therapy. When applied, the dressing should be generously moistened with the solution and remain wet for several hours. A sterile bandage is applied over the bandage.

How to treat erysipelas of the skin if local complications arise or bullous erysipelas develops? In this case, there is only one way out - hospitalization in a surgical hospital and performing an operation.

Surgery

As already mentioned, indications for surgery are the formation of ulcers (cellulitis, abscesses), skin necrosis or the bullous form of erysipelas. You should not be afraid of surgical treatment; in most cases it takes no more than 30-40 minutes and is performed under general anesthesia (anesthesia).

During the operation, the surgeon opens the cavity of the abscess and removes its contents. The wound, as a rule, is not sutured - it is left open and a rubber outlet is installed to drain the fluid. If dead tissue is detected, they are completely removed, after which conservative therapy is continued.

Surgical treatment of the bullous form of erysipelas occurs as follows: the doctor opens the existing blisters, treats their surfaces with an antiseptic and applies bandages with a 0.005% solution of Chlorhexidine. This prevents the addition of foreign infections.

Skin after erysipelas

On average, treatment for erysipelas takes 2-3 weeks. As the local inflammatory response decreases and the amount of streptococcus decreases, the skin begins to renew itself. The redness decreases and a kind of film appears in place of the damaged area - this is the “old” skin being separated. As soon as it is completely rejected, it should be removed independently. There should be unchanged epithelium underneath.

Over the next week, peeling of the skin may persist, which is a normal reaction of the body.

In some patients, erysipelas can take a recurrent course, that is, appear again in the same place after a certain time (several years or months). In this case, the skin will be susceptible to trophic disorders, chronic swelling of the limb or replacement of the epithelium with connective tissue (fibrosis) may form.

Frequently asked questions from patients

Question:
How dangerous is this infection?

Erysipelas is a serious disease that is dangerous due to severe intoxication and the development of complications. As a rule, with timely treatment, the prognosis is favorable. If the patient comes a week or more after the onset of infection, his body is weakened by concomitant diseases (diabetes, heart failure, HIV, etc.), erysipelas can lead to fatal consequences.

Question:
How to restore skin after erysipelas?

In almost all forms of erysipelas, this process occurs independently, without the intervention of doctors. The main thing is to eliminate the source of infection and local inflammatory phenomena. The exception is necrotic erysipelas. In this case, the skin can only be restored through surgery (skin grafting).

Question:
Why does erysipelas occur several times in the same place? How to prevent this?

In this case, we are talking about a recurrent form of erysipelas. Group A streptococcus has the ability to disrupt the immune system, which leads to repeated inflammatory reactions in the affected skin. Unfortunately, adequate methods for preventing relapse have not been developed.

Question:
Why is the article not mentioning Tetracycline (Unidox, Doxycycline) for the treatment of erysipelas?

Currently, tetracycline antibiotics do not use for the treatment of erysipelas. Studies have shown that most hemolytic streptococci are resistant to this drug, so it is recommended to use the following antibiotics for erysipelas - a combination of synthetic penicillin + sulfonamide or a 3rd generation cephalosporin (Ceftriaxone).

Question:
Should physical therapy be used to treat erysipelas?

No. Physiotherapy during the acute period will lead to increased inflammation and the spread of infection. It should be postponed until the recovery period. After suppressing the infection, it is possible to use magnetic therapy or ultraviolet radiation.

Question:
Does the treatment of erysipelas differ depending on the location of the infection (on the face, on the arm, etc.)?

Treatment of erysipelas of the arm, leg and any other part of the body is carried out according to the same principles.

Erysipelas occurs due to streptococcus, which causes the disease by penetrating through microtraumas on the skin. The presence of erysipelas manifests itself in redness, swelling, and a shiny area of the skin, accompanied by high fever, sometimes headache and nausea. Treatment of this disease at home is permissible after consultation with a doctor.

Erysipelas on the leg - symptoms of the disease

It may take several days from infection with streptococcus until the first symptoms of the disease appear. At first, a general feeling of malaise is felt:

No later than 24 hours after the first symptoms, the following appear: the skin on the affected area turns red and becomes painful. There is swelling and burning, a feeling of tightness and tension in the skin. Other symptoms of erysipelas on the leg depend on the form of the disease. This may include the appearance of erythema with fuzzy edges, peeling or peeling of the top layer of skin, and the formation of blisters filled with clear or bloody fluid.

Treatment at home

Such an unpleasant and painful disease as erysipelas can be treated at home. For this purpose, medications, folk remedies, and various ointments are used.

Antibiotics

Erysipelas is a serious infectious disease caused by streptococcus. This skin inflammation quickly progresses and spreads. Therefore, the most effective treatment is medication, namely antibiotic therapy administered orally or intramuscularly. For particularly severe and advanced forms, drugs are used intravenously.

To treat erysipelas on the leg, the following are mainly used:

drugs of the penicillin group;
cephalosporins;
erythromycin, other antibiotics - if first-line drugs are ineffective.

The required antibiotic is prescribed after a general blood test and results are obtained. Bacterial culture is usually not used, since therapy must be started immediately. The minimum course of treatment is a week. In severe cases – 14 days or more. The most effective is complex treatment, when anti-inflammatory drugs are taken along with antibiotics. Taking vitamins is encouraged. Physiotherapy – electrophoresis and ultraviolet irradiation – has proven itself well in the treatment of erysipelas.

Ointments

Treatment with ointment is effective for local therapy, when it is necessary to destroy external foci of bacteria and reduce the pain that occurs with erysipelas. In such a situation, erythromycin ointment is used. Local therapy does not cancel the prescription of systemic antibiotics. In the bullous form of erysipelas, the surgeon opens the blisters that have formed. After this, a bandage soaked in an antiseptic solution - furatsilin or rivanol - is applied to the damaged areas of the skin.

For erythematous-hemorrhagic erysipelas, it is recommended to apply dibunol liniment twice a day to improve skin regeneration. You can also use ointment prepared at home. Chamomile and yarrow juice are mixed with butter in a ratio of 1:4. This ointment is applied to the affected areas three times a day; this is the most effective remedy for erysipelas. However, surgeons categorically do not recommend using homemade ointments due to the high risk of infection of the affected skin areas.

Streptocide

Streptocide for the treatment of erysipelas on the leg is used in the form of powder, tablets, ointment and liniment. The effectiveness of this drug is explained by its antimicrobial properties against streptococci. For oral use, 0.6–1.2 grams are prescribed 5 times a day. If vomiting occurs, the drug is administered as a solution intravenously or intramuscularly. Currently, systemic therapy with Streptocide is not used due to the high risk of side effects.

Streptocid ointment for erysipelas 10% and liniment 5% are also used. In this case, for erysipelas on the leg, the ointment is applied directly to the affected area or to a gauze bandage that is applied to the erysipelas. In addition, powdering directly onto the wound with Streptocide powder, previously sterilized, is effective.

In the absence of complications, Vishnevsky ointment can be used for erysipelas. Its effectiveness is explained by the substances contained in the composition, which contribute to an increase in exudation and the formation and rupture of blisters. Vishnevsky balm against erysipelas is applied to a gauze bandage, which is wrapped around damaged areas of skin on the leg. The dressing is changed after twelve hours. However, for more severe forms of erysipelas, the use of ointment is not recommended. It increases swelling and can make the situation worse. This happens in most cases, so doctors strongly advise against self-medication with Vishnevsky ointment.

Beaver jet treatment

Beaver stream has bactericidal, healing properties, and improves immunity. Therefore, it is effective for erysipelas on the leg. It is recommended to take beaver stream in powder form. To prepare it, the dried stream is grated and then pounded in a mortar until it becomes powdery. Use once a day in an amount corresponding to the size of a match head. The course of treatment is two months, with a month break.

Folk remedies

How to get rid of erysipelas on your leg quickly and at home? Folk remedies will help with this.

Chalk

A well-known and effective traditional medicine for treating erysipelas on the leg is chalk. To carry out the procedure, the chalk must be crushed to a powder state. Next, sprinkle it on the affected areas of the skin and wrap it in a red cloth. On top is a towel. The compress is done at night. You can add crushed chamomile flowers and sage leaves to the powder in equal proportions.

Herbal treatment

Prepare homemade ointments for erysipelas, for this you will need the following mixtures:

mix dry chamomile leaves with leaves of coltsfoot herb in equal proportions;
add a little honey and apply the resulting mixture to the affected area of the skin, leaving for half an hour.

Yarrow has long been famous for its large list of capabilities, so much so that the ancient Greeks created a legend about it. This folk remedy for erysipelas on the leg can help in eliminating the infection:

take some dried herbs and mix with butter;
Apply to the affected area several times a day, without washing off for half an hour or an hour.

Burdock leaf also has significant benefits, which is used for many purposes:

mash a fresh, just torn leaf and mix with thick sour cream;
apply several times a day until the redness subsides.

Important! Instead of store-bought sour cream, it is preferable to choose a more natural one. But you should know that all these remedies can provoke secondary infection of the affected skin and aggravate the disease.

Plantain

Everyone knows about the properties of plantain. It is also quite effective in treating such an unpleasant infection as erysipelas:

pick a few young plantain leaves, finely chop and mix with honey in the same ratio;
simmer the mixture over low heat, cover tightly and let it brew for several hours;
Apply in the same way to the reddened area for several minutes.

Sage

Sage, which has positive properties and contains many vitamins, can also be useful:

grind the dry leaves to form a powder and add the same amount of chalk;
sprinkle on the sore spot, tie a bandage on top and leave for a couple of hours;

The dressing with this composition must be changed at least four times a day.

Rue has a strong analgesic effect, the recipe is recommended if discomfort occurs:

crush ordinary medicinal rue in the same ratio with ghee;
lubricate the affected part of the skin a couple of times a day.

The following recipe is a decoction that has an extremely effective antiseptic effect:

take equal quantities of dandelion flowers, nettle, calendula, horsetail, oak bark, thorn flowers and blackberries;
Having mixed everything, boil for about ten minutes over low heat, in an amount of water two to three times greater than the amount of herbs;
Wash the affected area with this decoction several times a day.

Propolis ointment will also help in treatment.

Treatment with bark and roots of herbs

If possible, purchase bird cherry or lilac bark to prepare this compress:

Grind the oak or lilac bark as much as possible;
add a little heated water, then put the composition on gauze and make a compress;
keep it on the affected area for half an hour to an hour.

The following recipe comes from Tajikistan, whose residents have been using it for several hundred years:

buy soapwort roots, grind to a powder;
adding a little hot water, stir;
apply to the affected area of the leg three to four times daily.

Raspberries

Raspberries are not only tasty, but also healthy plants:

pick off some of the apical branches of the raspberry along with the leaves on them;
pour boiling water over it and let it brew for several hours;
wash the infected area of skin.

If blackthorn grows near you, this recipe will help you quickly overcome the disease:

collect the top layer of bark, chop into one teaspoon and boil for 15 minutes;
Dilute the prepared broth a little with water.

Do not apply undiluted product to the skin, as it is quite concentrated and you risk only aggravating the skin condition.

Coltsfoot

Coltsfoot can be used simultaneously as a compress and as a decoction orally, which guarantees a more effective and rapid elimination of the infection:

grind the dry leaves into powder and apply in its pure form to the desired area of the skin;
Prepare a decoction from a teaspoon of dry leaves and a glass of boiling water;
Take the decoction three times a day, one teaspoon.

Potato

Potatoes, in addition to cooking, can also serve well in the home treatment of erysipelas:

grate the potatoes on a fine grater until the juice comes out;
soak a gauze bandage folded in several layers in it;
change three to four times a day.

Bird cherry

If you have bird cherry bark, the following recipe is in no way inferior to the previous ones:

grind the bird cherry bark to a powder;
dilute with warm water and, having made a compress, apply several times a day until complete recovery.

Honey

Honey, whose wide list of healing effects cannot be duplicated by probably any other product, works no less well in the treatment of this infection:

mix a tablespoon of honey with two tablespoons of flour and ground elderberry leaves;
apply, changing bandages once an hour.

Before treatment, make sure that you are not allergic to honey.

Celery

Celery will cope well with the disease from the inside, because erysipelas attacks both the body and the epidermis at the same time:

one celery root, preferably weighing about a kilogram, rinse well and dry;
pass it through a meat grinder;
for a stronger effect, add three tablespoons of golden mustache leaves and one spoon of honey to the resulting mixture;
mix the resulting mass and leave in the refrigerator for two weeks;
Take one tablespoon at least three times daily before meals.

When treating diseases at home, remember that the effectiveness of the healing effect depends on an accurate diagnosis.