Recurrent, fixed erysipelas-like dermatophytid; ineffectiveness of antibiotics reported in a case.

Abstract

Recurrent erysipelas-like manifestations of the legs and their relationship to fungus infections have been thoroughly discussed and investigated. 1 McGlasson's la article focused attention on the phenomenon and its bacterial etiology. Sulzberger and associates, 1b Traub and Tolmach, 1c Waisman, 1f and Reiss 1g 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. REPORT OF CASE 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