Erysipelas in Children in Pediatric Practice

Abstract

Aim. To present a clinical case of atypical erysipelas, complicated by an allergic reaction, in a 10-year-old child.

Key points. Erysipelas is an urgent medical and social problem, and, despite the success of antibacterial therapy, its frequency does not tend to decrease. Erysipelas belongs to the group of pyoderma and occupies a leading place in the structure of purulent-septic diseases. The main etiological factor of erysipelas is considered to be group A Streptococcus. However, the ineffectiveness of traditional antibacterial therapy regimens speaks in favor of the polyetiological nature of this disease and requires great attention in choosing the starting drug. In children, the erythematous-bullous form is more common, which may require differential diagnosis not only with infectious diseases, but also with a number of allergic diseases with the prescription of desensitizing therapy. The article examines a clinical case of an atypical course of erysipelas in the area of the right half of the face, complicated by an allergic reaction in a 10-year-old girl. The ineffectiveness of initial antibacterial therapy and its correction based on the clinical picture, taking into account the negative results of laboratory tests, have been demonstrated.

Conclusion. Erysipelas in children with a burdened premorbid background, especially with atypical forms, requires great attention from doctors, since in these cases, if therapy is ineffective, the risk of complications may be increased.