Wundrose (erysipelas)

A rose, also known as erysipelas or rune, is a skin infection that usually occurs on the leg or face. Symptoms include redness of the affected area and a general malaise. Cause of the Wundrose is a bacterial attack, often as a result of a small skin injury, such as athlete's foot or an insect bite. Without early treatment with antibiotics, the infection can have serious consequences.

Typical symptoms of a Wundrose

The typical symptoms of the Wundrose include a strong, shiny and flame-like redness of the skin, which is clearly limited and not purulent. The inflammation spreads within a short time area around the entry point of the pathogen. Although an erysipelas can occur all over the body, wound roses often develop on the leg (especially on the foot and lower leg), face, arm or navel.

The following side effects of a Wundrose are possible:

  • General feeling of illness and tiredness
  • Burning, itching, tightening or warming of the skin
  • Painful, pressure-sensitive swelling of the affected area
  • Joint and headache
  • fever
  • Shivering to chills
  • nausea
  • Swelling of the nearby lymph nodes
  • Blisters or pustules, minor bleeding

These symptoms may or may not be associated with a rose. Even an inconspicuous course without clearly visible redness and concomitants is possible. Especially with the repeated occurrence of a Wundrose the cold-like symptoms often remain.

Erysipelas: How is the diagnosis done?

With a rose, a doctor can often already make the diagnosis based on the visible symptoms and physical discomfort of the person concerned. Part of the diagnosis is always the search for the portal of entry of the pathogen, for example, a wound or fungal infection.

In addition, there is a questioning or investigation with regard to any risk factors, ie accompanying or pre-existing diseases, which favor an erysipelas. In addition, a blood test or (more rarely) a smear can complement the diagnosis and help to determine the extent of the inflammation or the pathogen.

Differentiation from other diseases

Central part of the diagnosis of a Wundrose is the demarcation of other illnesses. These include:

  • Shingles (herpes zoster)
  • Phlegmon (a purulent inflammation, often as a result of a wound or an ulcer)
  • non-infectious inflammation in chronic venous insufficiency (on the lower leg)
  • Phlebitis or venous thrombosis in the leg
  • Redness at the edge of the wound as part of wound healing
  • Lyme disease
  • allergic reaction

In addition, a distinction must also be made in the linguistic sense: for example, an erysipelas on the face is called a "facial rose". This term may also mean a shingles on the face.

Wundrose: course and consequences

In the course of an erysipelas, the pathogens spread along the lymphoid and lymphatic vessels, where they cause inflammation, with which the body tries to fight the bacteria. If the treatment of a rose does not take place early or inadequately, serious consequences can sometimes arise. The pathogens are rapidly distributed in the body and can cause various complications:

  • Bleeding and blisters in the upper layers of the skin
  • Gluing the lymphatic system (lymphatic swelling or lymphedema to elephantiasis nostras)
  • Phlebitis and acute thrombosis
  • Spread to deeper skin layers (phlegmon)
  • blood poisoning
  • Kidney or heart wall inflammation (endocarditis)
  • Meningitis (meningitis) or cerebral venous thrombosis as a rare consequence of a facial rose

If a wound rose reappears at the same site after fading, it is referred to as relapse or recurrence. The risk is particularly high if additional risk factors, such as diabetes or venous disease, are present.

Early therapy with antibiotic

Early treatment usually causes a wound to heal after a few days. As part of the therapy is also the thorough cleaning and care of the portal of entry of the germ is important to avoid relapse.

The therapy of a Wundrose takes place usually by means of antibiotic, usually penicillin. The drug is administered intravenously or as a tablet, depending on the severity of the infection. This may sometimes require hospitalization in hospital.

Antibiotic therapy, ie treatment with antibiotics, usually takes place over a period of 10 to 14 days. In case of chronic Wundrose the long-term administration of antibiotics helps.

Further measures for erysipelas

In addition to the administration of antibiotics, the following measures for the treatment of a wound are available:

  • anti-inflammatory and antipyretic analgesics
  • Syringes for the prevention of thrombosis
  • Lymphatic drainage, if lymphatic drainage continues after the healing of the rose
  • a compression bandage or support stockings prevent swelling of the affected area that again stores fluid in the tissue

Tips for the treatment of Wundrose

Who suffers from a Wundrose should move the affected area as little as possible so that the infection does not spread. Bed rest can be recommended, but also increases the risk of thrombosis. These tips should also be taken into account:

  • Avoid speech and chewing movements in a facial rose, for example, by using food that has passed through.
  • If arms or legs are affected, store them in an elevated position to improve lymphatic drainage.
  • Cool the affected area. But beware: too much cooling could hinder the blood flow to the vessels.
  • With skin creams you can prevent your skin from becoming dry and cracked.

Although many people prefer homeopathy, a rose is a serious disease that always requires a doctor's visit and must be treated with antibiotics. Homeopathic ointments can only be used to support the fight against swelling.

Streptococcus as a cause

A Wundrose is an acute bacterial skin disease, which is usually caused by streptococci (more rarely by staphylococci).

Often, the bacteria already live on the skin and get through small skin injuries in the body to multiply in the deeper layers of skin. As a result, swelling and redness of the skin occurs at the affected sites.

Such entry ports in the skin often arise as a result of athlete's foot, insect bites, scratches, chapped skin, eczema or fungal infections.

Risk factors for a Wundrose

Particularly vulnerable to the disease are people with weakened immune systems, for example, as a result of surgery, as well as children and the elderly. Certain diseases also increase the risk of contracting wound roses. For example:

  • lymphedema
  • Diabetes mellitus
  • Leg swelling and venous diseases
  • Circulatory disorders

Wundrose is not contagious in the usual sense: The pathogens can indeed be transmitted from person to person. Undamaged skin and a healthy immune system, however, can usually fend off the bacteria. Therefore, there is usually no risk of infection.

Preventing white roses

A Wundrose can not be completely avoided, but you can prevent it by minimizing the risk factors. If you suffer from a disease that favors an erysipelas, treat them well.

Check yourself regularly for injuries, especially on the legs. Especially in the case of diabetes, a professional foot care is recommended so that the feet are examined and maintained by experts. If you have a suspected rose, seek medical attention immediately.

If it comes to skin injuries, clean and disinfect them carefully to prevent a sore.

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