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Erysipelas in Cirrhosis — SCE Infectious Diseases MCQ

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HardInfection Prevention & ControlErysipelas in CirrhosisSCE Infectious Diseases

A febrile patient has a tender bright-red lower-leg plaque with a sharply raised border and no abscess. Which diagnosis and likely pathogen best fit?

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Correct answer: A — Erysipelas caused most often by beta-haemolytic streptococci

The best answer is “Erysipelas caused most often by beta-haemolytic streptococci”. Erysipelas is a superficial dermal and lymphatic infection with a well-demarcated raised edge; streptococci predominate, while disproportionate pain or systemic toxicity still prompts reassessment for deeper infection. Recurrent cellulitis prevention begins with management of predisposing factors; antibiotic prophylaxis is a specialist individual decision after repeated episodes.

Reference: NICE NG141: cellulitis and erysipelas antimicrobial prescribing: https://www.nice.org.uk/guidance/ng141/chapter/Recommendations