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How is Erysipelas diagnosed?

See how Erysipelas is diagnosed. Which specialists are essential to meet, what tests are needed and other useful information for the diagnosis of Erysipelas

Erysipelas diagnosis

Erysipelas is a bacterial skin infection that typically affects the face or legs. It is important to diagnose erysipelas promptly to initiate appropriate treatment and prevent complications. The diagnosis of erysipelas is primarily based on clinical evaluation, medical history, and physical examination.



Medical History: The healthcare provider will begin by asking the patient about their symptoms, including the presence of redness, swelling, warmth, pain, and fever. They will also inquire about any recent skin injuries, surgeries, or underlying medical conditions that may increase the risk of erysipelas.



Physical Examination: The healthcare provider will carefully examine the affected area, looking for characteristic signs of erysipelas. These signs include a well-defined, raised, and intensely red rash with a sharply demarcated border. The skin may feel warm to the touch and be accompanied by pain or tenderness.



Lab Tests: While erysipelas can often be diagnosed based on clinical findings, certain laboratory tests may be ordered to confirm the diagnosis or rule out other conditions. These tests may include:




  • Blood tests: A complete blood count (CBC) may be done to check for an elevated white blood cell count, which indicates an infection. Blood cultures may also be taken to identify the specific bacteria causing the infection.

  • Wound culture: If there is an open wound or skin ulceration, a sample may be collected and sent to the laboratory for culture and sensitivity testing. This helps identify the bacteria responsible for the infection and determine the most effective antibiotic treatment.

  • Imaging studies: In rare cases, imaging tests such as ultrasound or MRI may be ordered if there is suspicion of deeper tissue involvement or abscess formation.



Differential Diagnosis: Erysipelas must be differentiated from other skin conditions that may present with similar symptoms, such as cellulitis, deep vein thrombosis, or allergic reactions. The healthcare provider will consider the patient's medical history, physical examination findings, and test results to make an accurate diagnosis.



It is important to consult a healthcare professional for an accurate diagnosis and appropriate management of erysipelas. Prompt treatment with antibiotics is crucial to control the infection and prevent complications.


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