Thursday, February 2, 2017

Cellulitis - A Brief Discussion

Cellulitis is a common infection of the skin or subcutaneous tissues with characteristic findings of:
  • erythema with poorly defined borders, 
  • edema, warmth, pain, and limitation of movement.
  • Fever and constitutional symptoms may be present and are commonly associated withm bacteremia. 
     Cellulitis of the right lower extremity characterized by sharply demarcated erythema an edema.



Predisposing factors include:


  • trauma, 
  • lymphatic or venous stasis, 
  • immunodeficiency (including diabetes mellitus), and 
  • foreign bodies.

Common etiologic organisms include:

  • group A β-hemolytic Streptococcus 
  • Staphylococcus aureus in nonintertriginous skin, and  gram-negative organisms or mixed flora in intertriginous skin and ulcerations. 
  • In immunocompromised hosts, Escherichia coli, Klebsiella species, Enterobacter species, and Pseudomonas aeruginosa are common. 
  • In recent years, there has been a dramatic increase in the incidence of community- acquire methicillin-resistant S aureus (CA-MRSA), particularly in cellulitis associate with a cutaneous abscess.

The differential diagnosis includes 
  • Deep venous thrombosis (DVT), 
  • Venous stasis, 
  • Erythema nodosum, 
  • Septic or inflammatory arthritis/bursitis, and 
  • Allergic reactions.
Treatment of minor cases commonly consists of :
  • immobilization,
  • elevation, 
  • analgesia, and
  • oral β-lactam antibiotics with reevaluation in 48 hours. 
The increase in the incidence of CA-MRSA has prompted some, especially in highly endemic
areas, to advocate coverage with trimethoprim/sulfamethoxazole or other agents
  • Admission and parenteral administration of antibiotics may be necessary for immunocompromised or toxic-appearing patients, or those who do not respond to outpatient therapy.
Points To Remember: 
1. Rapidly progressive cellulitis or one that progresses despite treatment with β-lactam antibiotics should raise suspicion for CA-MRSA or deeper infections such as fasciitis.
2. Known risk factors for CA-MRSA include military personnel, prison inmates, and competitive sports players.
3. Routine blood or leading-edge cultures in nontoxic patients are generally low yield .

3 comments:

  1. Don't You Think It's High Time You Tried Herbal Remedy?

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  2. I feel so excited today because it's just a year since I got my breakthrough from Herpes.I was diagnosed of HSV1 on the 12/4/2015 and latter i got affected with the HSV2. That was my 2nd outbreak after i lost my ex fiance that got me affected with the virus. I was so scared when he died and what i heard about the Herpes virus as he's deathly and such has no cure. I feel so pity and and a disgrace to my personality,in my career and my family to have been in with the deathly sickness, and that would makes my love ones siblings stay far from me. I was going to my regular church activities when i begin to hear testimonies of how people get cure online, i never gave it a thought till my cousin Stephanie who was affected with HIV told me, Lenny you need not to worry cos i met i man today online , i traditional herbal healer whom two of her friends confirmed he cure them with his herbal herbs that i should give it a try. I saw the interest in her and she did contact the herbal doctor again in my present, luckily for me he picked and show up himself, behold he was at about to attain to some patients that have came back with appreciation of how he cure them from Cancer, HIV, and off much too the herpes he cured an 18 years old daughter.
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  3. I started on COPD Herbal treatment from Ultimate Health Home, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Health Home via their website at www.ultimatelifeclinic.com I can breath much better and It feels comfortable!

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