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November 1953

RECURRENT, FIXED ERYSIPELAS-LIKE DERMATOPHYTID: Ineffectiveness of Antibiotics Reported in a Case

Author Affiliations


From the Dermatological Section of the Medical Service, Osaka Army Hospital, Osaka, Japan. This case was referred by Colonel George M. Powell, Medical Corps, Chief of the Medical Service.

AMA Arch Derm Syphilol. 1953;68(5):574-576. doi:10.1001/archderm.1953.01540110096015

Recurrent erysipelas-like manifestations of the legs and their relationship to fungus infections have been thoroughly discussed and investigated.1 McGlasson'sla article focused attention on the phenomenon and its bacterial etiology.

Sulzberger and associates,1b Traub and Tolmach,1c Waisman,1f and Reiss1g advanced the concept that some of the cases represent dermatophytids.

The purpose of this paper is to focus attention on the ineffectiveness of antibiotics and to reemphasize the importance of fungicidal measures when the cause is mycotic. Reference to the use of antibiotics in active or prophylactic therapy of this condition has not been found.


Present Illness.—W. S., a 24-year-old white man, was admitted to Osaka Army Hospital on Feb. 1, 1952, with a diagnosis of recurrent cellulitis of the right leg. Approximately two hours before admission, the patient, who was well and at work, suddenly experienced a sharp chill followed by

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