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Presse Med ; 21(22): 1022-4, 1992 Jun 13.
Article in French | MEDLINE | ID: mdl-1387215

ABSTRACT

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.


Subject(s)
Erysipelas/complications , Thrombophlebitis/etiology , Adult , Aged , Aged, 80 and over , Anti-Bacterial Agents , Drug Therapy, Combination/therapeutic use , Echocardiography, Doppler , Female , Heparin/therapeutic use , Humans , Male , Middle Aged , Phlebography , Prospective Studies , Thrombophlebitis/diagnostic imaging , Thrombophlebitis/drug therapy
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