Erysipelas is a type of skin infection (cellulitis).

Erysipelas is a type of skin infection (cellulitis). Causes, incidence, and risk factors Erysipelas is usually caused by group A Streptococcus bacteria. The condition may affect both children and adults. Risk factors include: A cut in the skin Problems with drainage through the veins or lymph system Skin sores (ulcers) In the past, the face was the most common site of infection. Now it accounts for only about 20% of cases. The legs are affected in up to 80% of cases. Symptoms Blisters Fever, shaking, and chills Painful, very red, swollen, and warm skin underneath the sore (lesion) Skin lesion with a raised border Sores (erysipelas lesions) on the cheeks and bridge of the nose Signs and tests Erysipelas is diagnosed based on how the skin looks. A biopsy of the skin is usually not needed. Treatment Antibiotics such as penicillin are used to eliminate the infection. In severe cases, antibiotics may need to be given through an IV (intravenous line). Those who have repeated episodes of erysipelas may need long-term antibiotics. Expectations (prognosis) With treatment, the outcome is good. It may take a few weeks for the skin to return to normal. Peeling is common. Complications In some patients, the bacteria may travel to the blood. This results in a condition called bacteremia. The infection may spread to the heart valves, joints, and bones. Other complications include: Return of infection Septic shock Calling your health care provider Call your health care provider if you ...