Clinical case of erysipelas in a child
O. N. Solodovnikova,
S. K. Pylaeva,
A. A. Erovichenkov,
F. R. Ismail,
V. D. Solodovnik,
D. D. Arutunova,
O. V. hamsheva https://doi.org/10.22627/2072-8107-2025-24-3-70-72
Abstract
In clinical practice, inflammatory changes in the skin, mucous membranes and lymph nodes are characteristic of many infectious diseases. Erysipelas occupies a significant place in the structure of infectious pathologies in the adult population. At the same time, in children this disease is registered extremely rarely. The present study presents a rare case of erysipelas localised to the face and ear (Milian's ear sign) in a 10-year-old child with no comorbid somatic pathology.Given the rarity of erysipelas in the paediatric population and the lack of clear normative documents regarding the management of patients with this disease in paediatric practice, the clinical case presented may contribute to increased physician vigilance regarding this diagnosis.
About the Authors
O. N. Solodovnikova
Moscow Multidisciplinary Clinical Center «Kommunarka» of the Moscow Department of Health ; Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Moscow
S. K. Pylaeva
Chumakov Federal Scientific Center for Research and Development of Immunobiological Drugs of the Russian Academy of Sciences (Polio Institute) ; Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Moscow
A. A. Erovichenkov
Chumakov Federal Scientific Center for Research and Development of Immunobiological Drugs of the Russian Academy of Sciences (Polio Institute) ; Federal State Budgetary Educational Institution of Further Professional Education «Russian Medical Academy of Continuous Professional Education» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Moscow
F. R. Ismail
Moscow Multidisciplinary Clinical Center «Kommunarka» of the Moscow Department of Health
Russian Federation
Russian Federation
Moscow
V. D. Solodovnik
Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Moscow
D. D. Arutunova
Chumakov Federal Scientific Center for Research and Development of Immunobiological Drugs of the Russian Academy of Sciences (Polio Institute)
Russian Federation
Russian Federation
Moscow
O. V. hamsheva
Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Moscow
References
1. Erovichenkov A.A., Briko N.I., Malyshev N.A., Potekaeva S.A., Kovaleva E.V. et al. Clinical and epidemiological characteristics of erysipelas in Moscow in recent years. Infectious Diseases. 2015; 13(1):46–52. (In Russ.)
2. State report on the state of sanitary and epidemiological well-being of the population in the Russian Federation in 2023. Moscow: Federal Service for Surveillance on Consumer Rights Protection and Human Welfare, 2024: 364. (In Russ.) https://rospotrebnadzor.ru/documents/details.php?ELEMENT_ID=27779
3. Erysipelas in Children: Risk Factors and Management in the Pediatric Emergency Department. Issam Taha; Ilham Tadmori; Widade Kojmane et al in Open Journal of Pediatrics. 2023; 13(06) :914—920 .
4. Painter K, Anand S, Philip K. Omphalitis. [Updated 2022 Sep 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513338/
5. Brishkoska-Boshkovski V, Kondova-Topuzovska I, Damevska K, Petrov A. Comorbidities as Risk Factors for Acute and Recurrent Erysipelas. Open Access Maced J Med Sci. 2019 Mar 15; 7(6):937—942. doi: 10.3889/oamjms.2019.214
6. Stevens DL, Bisno AL, Chambers HF, Everett ED, et al. Infectious Diseases Society of America. Practice guidelines for the diagnosis and management of skin and soft-tissue infections. Clin Infect Dis. 2005 Nov 15; 41(10):1373— 406. doi: 10.1086/497143
7. Infectious diseases: National guidelines. Ed. by N.D. Yushchuk, Yu.Ya. Moscow: GEOTAR-Media Publishing House, 2023:435-446. (In Russ.)
8. SanPiN «Sanitary and Epidemiological Requirements for the Prevention of Infectious Diseases» dated January 28, 2021 N 4 N 3.3686-21 with amendments as of May 25, 2022.XLI. Prevention of streptococcal (group A) infection. (In Russ.)
9. Sugimoto H, Furukawa K. Milian's ear sign: Erysipelas. IDCases. 2018 Aug 31;14:e00449. doi: 10.1016/j.idcr.2018.e00449.
10. Suzuki K, Otsuka H. Bilateral Milian's Ear Sign of Erysipelas. Intern Med. 2017 Sep 1; 56(17):2381—2382. doi: 10.2169/internalmedicine.8694-16
11. Matsuura H., A Senoo, M Saito, Y Hamanaka, Milian’s ear sign, QJM: An International Journal of Medicine, June 2018; 111(6):415. doi: 10.1093/qjmed/hcx251
12. Lazzarini L, Conti E, Tositti G, et al. Erysipelas and cellulitis: clinical and microbiological spectrum in an Italian tertiary care hospital. J Infect. 2005; 51 (5):383—389. doi: 10.1016/j.jinf.2004.12.010
Review
For citations:
Solodovnikova O.N., Pylaeva S.K., Erovichenkov A.A., Ismail F.R., Solodovnik V.D., Arutunova D.D., hamsheva O.V. Clinical case of erysipelas in a child. CHILDREN INFECTIONS. 2025;24(3):70-72. (In Russ.) https://doi.org/10.22627/2072-8107-2025-24-3-70-72
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