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Erysipelas, a large retrospective study of aetiology and clinical presentation.
BMC Infect Dis 2015; 15:402BI

Abstract

BACKGROUND

Erysipelas is a common and severe infection where the aetiology and optimal management is not well-studied. Here, we investigate the clinical features, bacteriological aetiology, and treatment of erysipelas.

METHODS

Episodes of erysipelas in a seven-years period in our institution were studied retrospectively using a pre-specified protocol and is presented with descriptive and comparative statistics.

RESULTS

1142 episodes of erysipelas were identified in 981 patients. Patients had a median age of 61 years, 59 % were male, a majority had underlying diseases or predisposing conditions, and the leg was most often affected. Wound cultures were taken in 343 episodes and 56 grew group A streptococci (GAS), 53 grew group G streptococci (GGS), 11 grew group C streptococci (GCS), and 153 grew Staphylococcus aureus. Blood cultures were drawn in 49 % of episodes and 50 cultures were positive with GGS as the most common finding (21 cultures) followed by GAS in 13, group B streptococci in 5, S. aureus in 4, and GCS in 3 cultures. In 45 % of episodes, patients received antibiotics with activity against S. aureus.

CONCLUSIONS

GGS is the most common streptococcus isolated in erysipelas and the role of S. aureus in erysipelas remains elusive.

Authors+Show Affiliations

Division of Infection Medicine, Department of Clinical Sciences Lund, Lund University, Lund, Sweden. annablackberg@gmail.com.Division of Infection Medicine, Department of Clinical Sciences Lund, Lund University, Lund, Sweden. kristina.trell@med.lu.se.Division of Infection Medicine, Department of Clinical Sciences Lund, Lund University, Lund, Sweden. magnus.rasmussen@med.lu.se.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26424182

Citation

Bläckberg, Anna, et al. "Erysipelas, a Large Retrospective Study of Aetiology and Clinical Presentation." BMC Infectious Diseases, vol. 15, 2015, p. 402.
Bläckberg A, Trell K, Rasmussen M. Erysipelas, a large retrospective study of aetiology and clinical presentation. BMC Infect Dis. 2015;15:402.
Bläckberg, A., Trell, K., & Rasmussen, M. (2015). Erysipelas, a large retrospective study of aetiology and clinical presentation. BMC Infectious Diseases, 15, p. 402. doi:10.1186/s12879-015-1134-2.
Bläckberg A, Trell K, Rasmussen M. Erysipelas, a Large Retrospective Study of Aetiology and Clinical Presentation. BMC Infect Dis. 2015 Sep 30;15:402. PubMed PMID: 26424182.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Erysipelas, a large retrospective study of aetiology and clinical presentation. AU - Bläckberg,Anna, AU - Trell,Kristina, AU - Rasmussen,Magnus, Y1 - 2015/09/30/ PY - 2014/12/30/received PY - 2015/09/21/accepted PY - 2015/10/2/entrez PY - 2015/10/2/pubmed PY - 2016/5/5/medline SP - 402 EP - 402 JF - BMC infectious diseases JO - BMC Infect. Dis. VL - 15 N2 - BACKGROUND: Erysipelas is a common and severe infection where the aetiology and optimal management is not well-studied. Here, we investigate the clinical features, bacteriological aetiology, and treatment of erysipelas. METHODS: Episodes of erysipelas in a seven-years period in our institution were studied retrospectively using a pre-specified protocol and is presented with descriptive and comparative statistics. RESULTS: 1142 episodes of erysipelas were identified in 981 patients. Patients had a median age of 61 years, 59 % were male, a majority had underlying diseases or predisposing conditions, and the leg was most often affected. Wound cultures were taken in 343 episodes and 56 grew group A streptococci (GAS), 53 grew group G streptococci (GGS), 11 grew group C streptococci (GCS), and 153 grew Staphylococcus aureus. Blood cultures were drawn in 49 % of episodes and 50 cultures were positive with GGS as the most common finding (21 cultures) followed by GAS in 13, group B streptococci in 5, S. aureus in 4, and GCS in 3 cultures. In 45 % of episodes, patients received antibiotics with activity against S. aureus. CONCLUSIONS: GGS is the most common streptococcus isolated in erysipelas and the role of S. aureus in erysipelas remains elusive. SN - 1471-2334 UR - https://www.unboundmedicine.com/medline/citation/26424182/Erysipelas_a_large_retrospective_study_of_aetiology_and_clinical_presentation_ L2 - https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-015-1134-2 DB - PRIME DP - Unbound Medicine ER -