Infant Leg Erysipele: An Observation in the Dermatology Unit of the regional hospital of Gao (MALI)

Abstract

Erysipelas is a non-necrotizing acute bacterial dermohypodermatitis, most often affecting the lower limbs. Factors favoring its occurrence are the existence of a portal of entry (neglected traumatic wounds, intertrigo), lymphoedema, obesity and voluntary depigmentation. The most common complication is recurrence. Other complications include abscess, fasciitis and bacteremia. We report a first Malian observation of erysipelas in an 8-month-old female infant, brought to a consultation in the dermatological unit of the Gao Regional Hospital for the brutal installation of a large red leg plus notion of fever. and chills. The diagnosis was made with swelling of the red, hot and painful lower right limb with tense bullae associated with inguinal lymphadenopathy and leukocytosis at the hemogram. An antibiotic-based treatment associated with a dressing and rest was instituted. The evolution was enameled by the disappearance of the lesions in ten days. The positive diagnosis is based on clinic strengthened by research of streptococcal origin.