[Deep venous thromboses in erysipelas of the leg. A prospective study of 40 cases].
The treatment of lover limb erysipelas rests on antibiotic therapy directed against streptococci, but the necessity of prescribing a concomitant anticoagulant treatment has not yet been established. The incidence of deep vein thrombosis in patients with erysipelas of the leg in unknown. In a prospective study of 40 patients presenting with this type of skin disease, we looked for deep vein thrombosis, using systematically pulsed Doppler vein exploration combined with ultrasonography and, if necessary, a second Doppler examination and a phlebography. Six cases of deep vein thrombosis were diagnosed. This complication was observed in 5 patients at high risk for deep venous thrombosis; it had never been foreseen at clinical examination.
Mahé
A
A
Service de Médecine interne/Néphrologie, Centre hospitalier intercommunal de Poissy.
Destelle
J M
JM
Bruet
A
A
Mathé
C
C
Tuot
D
D
Taveau
J F
JF
Quevauvilliers
J
J
Fendler
J P
JP
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D015150:Echocardiography, Doppler; D004886:Erysipelas / Q000150:complications*; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D011446:Prospective Studies; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*
D000900:Anti-Bacterial Agents; D006493:Heparin