There are no randomised trials of the treatment of erysipeloid. Spontaneous healing occurs within 2 weeks. Penicillins and cephalosporins may have a beneficial effect within a couple of days 1. Macrolides can also be used 2. In the study of Venditti et al 2 the MICs of 10 isolated strains were < 0.01 µg/ml for penicillin and imipenem, between < 0.001 and 0.03 µg/ml for cephotaxim, and between < 0.01 and 0.06 µg/ml for ciprofloxacin. The isolated strains were resistent to netilmycin and vancomycin.
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