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Diagnosis and treatment of erysipelas
Last reviewed: 23.04.2024
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Diagnosis of erysipelas
The erysipelas are diagnosed mainly on the basis of a clinical picture. Of secondary importance are laboratory data: in peripheral blood leukocytosis with neutrophil shift, eosinophilia, toxic granularity of neutrophils, increased ESR.
In more severe cases, the amount of fibrinogen in the blood increases, the parameters of the coagulating blood system and fibrinolytic activity are changed; becomes positive C-reactive protein.
Bacteriological study is inexpedient. Serologic tests reveal antibodies to streptococcal antigens.
Treatment of erysipelas
The most effective antibiotics in the treatment of erysipelas are cephalosporins of III and IV generations in usual doses for 5-7 days. If necessary, you can use macrolides - erythromycin, azithromycin or metacycline. It is possible to prescribe sulfonamides. It is expedient to prescribe ascorbic acid, rutin, B vitamins, nicotinic acid, probiotics (acipol, etc.). Prospective appointment immunomodulatory drug vobenzim, which enhances the effect of antibiotics with a simultaneous decrease in their side effects, and improves the lymph drainage.
In cases of bullous erysipelas and with severe symptoms of intoxication, it is possible to use glucocorticoids 1-2 mg / kg per day for 3-5 days.
For the treatment of local complications of erysipelas (phlegmon, abscess, necrosis), the bactericide Tomicide is applied externally by applying a wet dressing impregnated with the drug to the affected foci 2-3 times a day.
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