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Recurrent erysipelas: 47 cases.

AbstractBACKGROUND:
Recurrence is a common complication of erysipelas (cellulitis).
OBJECTIVES:
Todescribe the characteristics of patients with recurrent erysipelas and thereby, identify potential risk factors and evaluate prophylaxis efficacy.
METHODS:
Data were retrospectively recorded from the files of 47 patients admitted to hospital between 1995 and 2003 for erysipelas recurrence. Studied variables included: general condition, regional and local factors, e.g. broken cutaneous barrier. Patient characteristics were used to construct tree-based models according to the classification and regression tree methodology.
RESULTS:
Our patients suffered a mean of 4.1 recurrences. Cutaneous barrier disruption was observed in 81%, mainly intertrigo (60%). Antibiotic prophylaxis was taken by 68% of the patients for 30.6 months. After 1 and 2 years, 84 and 72% of the patients, respectively, were recurrence-free.
CONCLUSION:
Our results showed that erysipelas recurrence has the same risk factors as single episodes and underlines the potential benefit of oral or parenteral antibiotic prophylaxis to prevent recurrences.
AuthorsS Leclerc, A Teixeira, E Mahé, V Descamps, B Crickx, O Chosidow
JournalDermatology (Basel, Switzerland) (Dermatology) Vol. 214 Issue 1 Pg. 52-7 ( 2007) ISSN: 1018-8665 [Print] Switzerland
PMID17191048 (Publication Type: Journal Article)
Chemical References
  • Anti-Bacterial Agents
Topics
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents (therapeutic use)
  • Antibiotic Prophylaxis (methods)
  • Erysipelas (diagnosis, drug therapy, epidemiology)
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Risk Factors
  • Secondary Prevention

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