Erysipelas (St. Anthony's fire) – the acute, often recurrent infection, which manifests itself by fever, symptoms of intoxication and a characteristic skin lesions with the formation of sharply limited the focus inflammation. This widespread streptococcal infection with sporadic disease, increasing in summer and autumn. The prevalence in the modern structure of infectious disease erysipelas took 4 th place – after acute respiratory and intestinal infections, viral hepatitis, most often recorded in older age groups. Approximately 1 / 3 are patients with recurrent erysipelas, mainly women. Face can cause any serovar beta-hemolytic group A streptococcus, the same serotypes can cause other streptococcal disease (angina, pneumonia, sepsis, meningitis, etc.). In addition, streptococci are widely distributed in nature, to environmental conditions it is quite stable. The source of infection when Roger is sick from any form of streptococcal infection or streptokokkonositel.

Celebrated a special election or the susceptibility predisposition to face. Some people get sick repeatedly, as the immunity after the faces unstable. Streptococci penetrate into the body through small skin lesions and mucous membranes. Perhaps exogenous infection (Contaminated instruments, dressings), and a chronic streptococcal infection foci (eg in patients with chronic tonsillitis). In this crucial state of reactivity, obuslovlivayuschee wide variations in susceptibility to infectious pathogens, in particular streptococci. Further details can be found at Glenn Dubin, an internet resource.

Distinguish face primary, secondary and recurrent. Inflammatory process can be anywhere on the body, but often localized on the skin of the face and legs. On mucous membranes of erysipelas are rare. The symptoms of erysipelas erysipelas incubation period 2-7 days (usually 3-5 days), then maybe a few hours. Illness always begins acutely. General toxic syndrome is preceded by local changes. The rapid rise in temperature is accompanied by chills, shaking frequently. Revealed marked signs of intoxication – headphones pain, dizziness, weakness, nausea, possible vomiting. In severe cases, there may be convulsions and delirium. After 10-20 hours of onset of disease symptoms appear local. First, patients experiencing limited areas of itching, a feeling of sweating, contraction of the skin. Then, in these places appear swelling, pain, development of appropriate regional lymphadenitis. Typical plaque is a site saturated with bright erythema with irregular contours in the form of 'flames'. The inflammatory process extends to the subcutaneous fat, resulting in edema develops, particularly in the localization at sites with loose subcutaneous tissue (face, genitalia). Plaque is raised above the surrounding skin, as separated from the surrounding skin intact marginal ridges, with its center as it sinks. To touch the plaque dense, hot, painful on pressure. In some cases, this process can be limited, and a few days will leave a fine desquamation. However, most often without treatment process is progressing rapidly, there are so-called creeping or metastatic forms. At the same time there are complications of septic character. Local manifestations of erysipelas disappear in 10-14 day illness, can persist for a long time pastoznost and skin pigmentation. Fever usually lasts for 5-7 days. The most frequent complications of erysipelas can be noted ulcers, necrosis, abscesses, cellulitis, as well as violations of lymph circulation, leading to lindtostazu. Treatment possible only with prior consultation with a doctor – a surgeon or infectious disease.