{"id":60,"date":"2023-03-21T13:17:58","date_gmt":"2023-03-21T13:17:58","guid":{"rendered":"https:\/\/www.merckconnect.com\/sivextro\/?page_id=60"},"modified":"2025-09-08T10:35:22","modified_gmt":"2025-09-08T10:35:22","slug":"absssi-erysipelas","status":"publish","type":"page","link":"https:\/\/www.merckconnect.com\/sivextro\/absssi-erysipelas\/","title":{"rendered":"ABSSSI – Erysipelas – Insect Bites"},"content":{"rendered":"\n\n

Acute Bacterial Skin and Skin Structure Infections (ABSSSI) Erysipelas: Insect Bites<\/strong><\/h1><\/div>\n\n\n\n
\n
\n\n
\"Profile\"\"<\/figure><\/div><\/div>\n\n\n\n

Not an actual patient<\/em><\/p>\n<\/div>\n\n\n\n

\n\n
<\/div>\n\n\n\n

Robert, a 63-year-old male, just returned from a vacation to discover multiple mosquito bites on his legs. His excessive scratching has led to broken skin and the appearance of a growing, painful, red rash on his left calf.<\/p>\n\n\n\n

<\/div>\n<\/div>\n<\/div>\n\n\n\n
<\/div>\n\n\n\n
\n
\n
\"Insect<\/figure><\/div><\/div>\n<\/div>\n\n\n\n
\n

Reported signs and symptoms:<\/strong><\/h2><\/div>\n\n\n\n\n
  • Over left upper calf: painful, red patch of skin<\/li><\/ul><\/div>\n\n\n\n

    Clinical examination:<\/strong><\/h2><\/div>\n\n\n\n
    • BMI of 34.0 kg\/m2<\/sup><\/li>
    • Vital Signs: Temp: 99.0\u00b0F; RR: 17 RPM; HR: 90 BPM;
      BP: 130\/75 mm Hg<\/li>
    • Over left lateral leg:~<\/sup>150 cm2 <\/sup>patch of tender, intensely red, shiny skin; red streaking<\/li>
    • Sharply raised edges, distinctly demarcated from adjacent skin; no drainage<\/li><\/ul><\/div>\n\n\n\n
      <\/div>\n\n\n\n

      Lab results:<\/strong><\/h2><\/div>\n\n\n\n
      • WBC: 13,000 x 103<\/sup> cells\/mL, erythrocyte sedimentation rate (ESR): 40 mm\/h<\/span><\/li><\/ul><\/div>\n\n\n\n
        <\/div>\n\n\n\n

        Diagnosis:<\/strong> ABSSSI (erysipelas)<\/p><\/div><\/div>\n\n\n\n

        <\/div>\n\n\n\n

        Other medical factors:<\/strong><\/h2><\/div>\n\n\n\n
        • Hypertension and mild arrhythmia<\/li><\/ul><\/div>\n\n\n\n
          <\/div>\n\n\n\n

          Next steps:<\/strong><\/h2><\/div>\n\n\n\n
          • Initiate empiric antimicrobial therapy<\/li>
          • Manage localized pain<\/li><\/ul><\/div>\n<\/div>\n<\/div>\n\n\n\n
            <\/div>\n\n\n\n

            Patients like Robert may be considered an appropriate candidate for SIVEXTRO<\/strong><\/h2><\/div>\n","protected":false},"excerpt":{"rendered":"

            Not an actual patient Robert, a 63-year-old male, just returned from a vacation to discover multiple mosquito bites on his legs. His…<\/p>\n","protected":false},"author":665,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[267],"ga4_page_businessunit":[272],"ga4_page_campaign":[],"ga4_page_content_purpose":[287],"ga4_page_customer_journey_stage":[333],"ga4_page_customer_specialty":[351],"ga4_page_experience":[],"ga4_page_indication":[403],"ga4_page_material_intent":[530],"ga4_page_product":[697],"ga4_page_region":[845],"ga4_page_therapeuticarea":[869],"user_role":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"class_list":["post-60","page","type-page","status-publish"],"yoast_head":"\nExample Patient for ABSSSI Erysipelas: Insect Bites<\/title>\n<meta name=\"description\" content=\"Review this patient profile to identify erysipelas from insect bites and help decide on an appropriate 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content=\"https:\/\/www.merckconnect.com\/sivextro\/wp-content\/uploads\/sites\/85\/2024\/07\/sivextro-patient-profile-robert.png?w=130\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Example Patient for ABSSSI Erysipelas: Insect Bites","description":"Review this patient profile to identify erysipelas from insect bites and help decide on an appropriate treatment.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.merckconnect.com\/sivextro\/absssi-erysipelas\/","og_locale":"en_US","og_type":"article","og_title":"Example Patient for ABSSSI Erysipelas: Insect Bites","og_description":"Review this patient profile to identify erysipelas from insect 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