Erysipelas is an acute, infectious, contagious disease, manifesting itself by characteristic inflammation of the skin and mucous membranes. It has always been my impression that this condition is essentially a disease of the skin, accompanied by marked constitutional symptoms, and that its occurrence about an open wound in any part of the body means infection by the streptococcus.
Spohn1 stated the belief that nine of every ten cases belong to the group of so-called idiopathic cases of erysipelas of the face, with a probable starting point in fissures at the entrance to the nares or in abrasions of the nasal mucous membrane. Janson2 stated that facial erysipelas usually begins on the nose and in fissures about the entrance of the nares. He pointed out that two symptoms which are frequently overlooked but which apparently often usher in facial erysipelas are "nasal catarrh and inflammation of the pharynx." He
MILLER J. FACIAL ERYSIPELAS FOLLOWING TONSILLECTOMY: REPORT OF A CASE. Arch Otolaryngol. 1929;9(5):534–537. doi:10.1001/archotol.1929.00620030560006
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