| ID | 228 |
|---|---|
| Name | CELLULITIS |
| Cause | |
| Signs Symptoms | |
| Diagnosis | |
| Investigations | |
| Management | Management: 1. Rest, hot pack, elevation of the part. 2. Antibiotic such as- cloxacillin, flucloxacillin, cephalosporins (orally or parenterally). 3. When fluctuation is present incision & drainage is required. 4. Treatment of diabetes (if any). |
| Introduction | Cellulitis: A diffuse spreading infection & inflammation of the cellular tissues, may be superficial or deep (dermis & subcutaneous), but no gross suppuration . The causative organisms are most commonly gram-positive cocci, specially B-hemolytic streptococci & s. aureus; rarely, gram-negative bacilli or even fungi. The commonest site of cellulitis is the lower limbs, and commonest portal of lower limb cellulitis is toe web intertrigo with fissuring. Predisposing factors: 1. Diabetic mellitus (diabetic foot) 2. Venous insufficiency due to any cause. 3. Hyperkeratotic lesions from ill fitting shoes & abnormal weight bearing. |
| History | |
| Etiology | |
| Clinical Features | Clinical features: 1. Constant aching or throbbing pain. 2. Patient may be toxic with chills, fever, malaise, lassitude & loss of appetite. 3. Affected area is swollen, hot, indurated & acutely tender with no definite margin or edge. 4. No fluctuation, no pus. 5. Lymphadenitis may be present. 6. Polymorphonuclear leucocytosis present. |
| Preventions | |
| Treatment | |
| Complications | |
| Prognosis | |
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| Classification | |
| Observation | |
| Pathology |
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