Erysipelas is a superficial cutaneous process that is usually restricted to the dermis, but with
prominent lymphatic involvement commonly caused by streptococci. Here, we report an
unusual case of primary gangrenous-phlegmonous erysipelas of the face with necrosis of
the upper eyelid. Diagnosing facial erysipelas in this case was particularly challenging due
to the atypical clinical and laboratory features, possibly caused by secondary
immunodeficiency. A unique aspect of this case is that the disease started without the typical …