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Diagnosis and treatment of rye
Last reviewed: 04.07.2025
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Diagnosis of erysipelas
Erysipelas is diagnosed mainly based on the clinical picture. Laboratory data are of secondary importance: leukocytosis with a neutrophilic shift in the peripheral blood, eosinophilia, toxic granularity of neutrophils, increased ESR.
In more severe cases, the amount of fibrinogen in the blood increases, the parameters of the blood coagulation system and fibrinolytic activity are changed; C-reactive protein becomes positive.
Bacteriological testing is not advisable. Serological testing reveals antibodies to streptococcal antigens.
Treatment of erysipelas
The most effective antibiotics for treating erysipelas are cephalosporins of the third and fourth generations in normal doses for 5-7 days. If necessary, macrolides can be used - erythromycin, azithromycin or metacycline. Sulfonamides can be prescribed. It is advisable to prescribe ascorbic acid, rutin, B vitamins, nicotinic acid, probiotics (acipol, etc.). It is promising to prescribe the immunomodulatory drug Wobenzym, which enhances the effect of antibiotics while reducing their side effects, and also improves lymph flow.
In cases of bullous erysipelas and severe symptoms of intoxication, glucocorticoids may be used at 1-2 mg/kg per day for 3-5 days.
To treat local complications of erysipelas (phlegmon, abscess, necrosis), the bactericidal drug Tomicide is used externally by applying a wet bandage soaked in the drug to the affected areas 2-3 times a day.
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