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ERYSIPELAS IN INFANCY

JAMES W. BRUCE, M.D.; THOMAS S. CHALKLEY, M.D.
Am J Dis Child. 1943;65(5):739-743. doi:10.1001/archpedi.1943.02010170061007.
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Erysipelas is a red, spreading, indurated demarcated lesion involving the lymphatics of the skin and caused by streptococci immunologically and culturally members of the Lancefield group A but of no serologic type. In an infant, although the temperature may be elevated to 106 F., convulsions seldom occur (in 2 of our series of 42 patients). The indurated lesion may begin within a few hours after the onset of the fever with the appearance of cellulitis, but clearly demarcated edges rapidly develop. In a newborn infant it may begin in the umbilical region, in a lesion from forceps abrasions or from impetigo neonatorum, or commonly in the diaper region. Later in infancy it more commonly begins from an otitis media, acute rhinopharyngitis or impetigo. The lesion may spread more rapidly in infants than in older patients and seems to undergo rapid exacerbations at times until the administration of sulfanilamide is started,

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