Differential Diagnosis Patient’s Features Erisipelas Cellulitis Etiology trimethoprim- sulfamethoxazole medication beta hemolytic group A Streptococcal (Occ. GBS) Streptococcus pyogenes, Staphylococcus aureus Epidemiology Age: 27 yo Sex: F Newborn Postpartum women Patients with breaks in the skin High risk in immunocompromi-sed patients and in children Course Acute; few hours after intake of drugs Acute Prodromes Malaise for several hours, chills, high fever, headache, vomiting, and joint pains Malaise, chills, fever

Differential Diagnosis Patient’s Features Erysipelas Cellulitis Eruption Generalized Palms and lip mucosa Face and legs Begins in the cheeck near the nose or in front of the lobe of the ear and spreads upward to the scalp Local erythema Tinea pedis-most common portal of entry

Differential Diagnosis Patient’s Features Acute Urticaria Erythema Multiforme Typical Lesions red papules with dusky centers. Ulcers in the lip mucosa May vary from transient hyperemia followed by slight desquamation to intense inflam. Erythematous patch with peripheral extension Scarlet, hot to touch, brawny,swollen Raised and sharply demarcated. Erythema rapidly becomes intense and spreads Area becomes infiltrated Pits on pressure Central part becomes nodular and surmounted by a vesicle that ruptures and discharges pus and necrotic material

Differential Diagnosis Patient’s Features Acute Urticaria Erythema Multiforme Complications Septicemia Deep cellulitits Lymphangitis Gangrene Metastatic abscess Sepsis

Erysipelas

Cellulitis