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CELLULITIS

It is spreading inflammation if the skin and subcutaneous tissues usually from acute infection.

Symptoms

Rednesss

Pain

Swelling

Warm to touch

In severe cases and widespread infection there may be:

Chills and fever

Malaise

Skin sloughing

Hemorrhage

Hypotension

Causes

Damage to skin from insect bite

Excoriation or scratch of skin

Other wounds

It is followed by infection with microbes: Staphylococci, Streptococci, Haemophilus

Diagnosis

  • Blood cultures
  • Complete blood count with differential
  • Levels of creatinine, bicarbonate, CRP
  • Imaging studies: USG and CT in severe cases
  • Aspiration, dissection and biopsy

Treatment

Antibiotic regimen depending upon culture and sensitivity: Cloxacillin, Amoxicillin, Cephalosporins or Macrolides

In severe cases hospital admission and initial course of parenteral antibiotics is required

If cellulitis is associated with abscess, drainage and surgical debridement may be necessary