Expert ReplyCondition analysis:
Among individuals with erysipelas, 13% to 17% develop complications, with abscesses, gangrene, and thrombophlebitis being the most common. Other complications may include pneumonia, scarlet fever, cavernous sinus thrombosis (when the infection occurs in the face), or meningitis. If untreated, erysipelas may lead to systemic inflammatory disease and contribute to the development of chronic inflammation or swelling. Erysipelas may cause more severe disease in individuals with compromised immune systems. The presence of antibiotic-resistant strains of Streptococcus will complicate treatment and may lengthen the disability period. Lesions can become scarred. A bacteremia may develop in very young, elderly, or immunocompromised individuals and may lead to sepsis and renal failure. In treated cases of bacteremia, mortality is less than 1%.
Instructions:
Dietetic Treatment
The indications for dietetic treatment are to support the strength by stimulants and nutritious foods, which must be adapted for easy digestion. When the temperature is high, and nausea and vomiting exist, nourishment should be taken in small quantities - an ounce or two at a time every hour. In ordinary cases, pancreatinised milk, beef peptonoids or albumoses and beef juice, eggnog, milk punch, and farinaceous gruels are recommended. Alcohol is needed and it is well tolerated, for it seems to be consumed in the system without intoxicating effects. From eighteen to twenty ounces of brandy or whisky may be given within twenty-four hours. In extreme cases an ounce an hour may be taken, or if allowance is made for sleep the individual doses may be increased. The liquor should be diluted with plain water, or with Vichy or carbonic water, or soda water. Aged or debilitated persons and young children especially need vigorous alcoholic stimulation. After the local inflammation subsides the period of convalescence requires a very nutritious diet, and fluids may gradually be replaced by beef, soft-cooked eggs, toast, bread and butter, and light farinaceous foods with cream.