Ecthyma is caused by either staphylococcus or streptococcus, or both together and is characterised by adherent crusts overlying ulceration. It occurs worldwide but is more common in the tropics. In Europe, it occurs more frequently in children.

Predisposing factors include

  • Poor hygiene
  • Malnutrition
  • Underlying skin disease, such as scabies.
  • It is commonly seen in drug abusers, and minor trauma can predispose to lesion development.Uploaded Image


Ecthyma is most often caused by the streptococcus bacteria. Sometimes, staphylococcus bacteria cause this skin infection on its own or in combination with streptococcus.

The infection may start in skin that has been injured due to a scratch, rash, or insect bite. The infection often develops on the legs. People with diabetes or a weakened immune system are more prone to ecthyma.


Main symptom of ecthyma is a small blister with a red border that may be filled with pus. The blister is similar to that seen with impetigo, but the infection spreads much deeper into the skin.

After the blister goes away, a crusty ulcer appears.


Arsenic: - A profoundly acting remedy on every organ and tissue. Its clear-cut characteristic symptoms and correspondence to many severe types of disease make its homeopathic employment constant and certain. Its general symptoms often alone lead to its successful application. Among these the all-prevailing debility, exhaustion, and restlessness, with nightly aggravation, are most important. Great exhaustion after the slightest exertion. This, with the peculiar irritability of fiber, gives the characteristic irritable weakness. Burning pains. Unquenchable thirst. Burning relieved by heat. Itching, burning, swellings; oedema, eruption, popular, dry, rough, scaly; worse cold and scratching. Malignant pustules. Ulcers with offensive discharge. Worse, wet weather, after midnight; from cold, cold drinks, or food. Seashore. Right side. Better from heat; from head elevated; warm drinks.

Carbolic acid: Very marked acuteness of smell is a strong guiding symptom. Carbolic Acid is a powerful irritant and anesthetic. A languid, foul, painless, destructive remedy. Itching vesicles, with burning pain. Burns tend to ulcerate.

Merc sol: Every organ and tissue of the body is more or less affected by this powerful drug; it transforms healthy cells into decrepit, inflamed and necrotic wrecks, decomposes the blood, producing a profound anemia. This malignant medicinal force is converted into useful life saving and life preserving service if employed homeopathically, guided by its clear cut symptoms. The lymphatic system is especially affected with all the membranes and glands, and internal organs, bones etc. Lesions produced by mercury very similar to those of syphilis. All Mercury symptoms are worse at night, from warmth of bed, from damp, cold, rainy weather, worse during perspiration. Complaints increase with the sweat and rest; all associated with a great deal of weariness, prostration, and trembling. A human "thermometer". Sensitive to heat and cold. Parts are much swollen, with raw, sore feeling; the profuse, oily perspiration does not relieve. Breath, excretions and body smell foul. Tendency to formation of pus, which is thin, greenish, putrid; streaked with thin blood. Persistent dryness of the skin contra indicates mercurius. Excessive odorous viscid perspiration; worse, night. General tendency to free perspiration, but patient is not relieved thereby. Vesicular and pustular eruptions. Ulcers, irregular in shape, edges undefined.

Pyrogen: Pyrogen is the great remedy for septic states, with intense restlessness. All discharges are horribly offensive-menstrual, lochia, diarrhea, vomit, sweat, breath, etc. Great pain and violent burning in abscesses. Chronic complaints that date back to septic conditions. Small cut or injury becomes much swollen and inflamed-discolored.