In facial serysipelas prohibition of speech and soft food.
Hospitalization:
Severe courses (blistering (erysipelas vesiculosum et bullosum) and bullous-hemorrhagic (blistering-bleeding) erysipelas, phlegmonous (“spreading diffusely”) or necrotizing (“associated with local tissue death (necrosis)”).
Localization in the face (cave cerebral venous thrombosis!) → Anticoagulation (inhibition of blood clotting) required!
Concomitant thrombophlebitis (acute thrombosis and inflammation of superficial veins).
Septic shock
Surgical necrosis ablation; sanitation of ports of entry, e.g., antifungals (antifungal agents).
