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Cellulitis

From Wikipedia
cellulitis
type of disease, signs den symptoms
Subclass ofconnective tissue disease, bacterial skin disease, musculoskeletal system symptom Edit
Health specialtydermatology Edit
Anatomical locationconnective tissue Edit
Described at URLhttps://www.medicalnewstoday.com/articles/152663#types Edit
ICD-9-CM682.8, 682.9 Edit
ICPC 2 IDS76 Edit

Cellulitis be usually[1] a bacterial infection wey dey involve de inner layers of de skin.[2] E specifically dey affect de dermis den subcutaneous fat.[2] Signs den symptoms dey include an area of redness wey dey increase in size over a few days.[2] De borders of de area of redness generally no be sharp, den de skin fi be swollen.[2] While de redness often dey turn white wen pressure be applied, dis no always be de case.[2] De area of infection usually be painful.[2] Lymphatic vessels occasionally fi be involved,[2][3] den de person fi get a fever den feel tired.[4]

De legs den face be de most common sites involved, although cellulitis fi occur anywhere on de body.[2] De leg be typically affected dey follow a break insyd de skin from abrasions, arthropod bites, anaa maceration between de toes.[2] Oda risk factors dey include obesity, leg swelling, den old age.[2] For facial infections, a break insyd de skin beforehand no usually be de case.[2] De bacteria most commonly involved be streptococci den Staphylococcus aureus.[2]

In contrast to cellulitis, erysipelas be a bacterial infection wey dey involve de more superficial layers of de skin, present plus an area of redness plus well-defined edges, wey be more often associated plus a fever.[2] De diagnosis usually be based on de presenting signs den symptoms, while a cell culture rarely be possible.[2][5] Before making a diagnosis, more serious infections such as an underlying bone infection anaa necrotizing fasciitis for be ruled out.[3]

Treatment typically be plus antibiotics wey dem take by mouth, such as cephalexin, amoxicillin anaa cloxacillin.[2][6] Those wey be allergic to penicillin fi be prescribed erythromycin anaa clindamycin instead.[6] Wen methicillin-resistant S. aureus (MRSA) be a concern, doxycycline anaa trimethoprim/sulfamethoxazole fi, in addition, be recommended.[2] Der be concern related to de presence of pus anaa previous MRSA infections.[2][4] Elevating de infected area fi be useful, as pain killers fi be.[3][6]

Potential complications dey include abscess formation.[2] Around 95% of people be better after 7 to 10 days of treatment.[4] Those plus diabetes, however, often get worse outcomes.[7] Cellulitis occur insyd about 21.2 million people insyd 2015.[8] Insyd de United States about 2 of every 1,000 people per year get a case wey dey affect de lower leg.[2] Cellulitis insyd 2015 result in about 16,900 deaths worldwide.[9] Insyd de United Kingdom, na cellulitis be de reason for 1.6% of admissions to a hospital.[6]

References

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  1. ↑ Bansal, Saurabh; Nimmatoori, Divya P.; Singhania, Namrata; Lin, Rone Chun; Nukala, Chandra Mouli; Singh, Anil K.; Singhania, Girish (3 November 2020). "Severe nonbacterial preseptal cellulitis from adenovirus detected via pooled meta-genomic testing". Clinical Case Reports. 8 (12): 3503–3506. doi:10.1002/ccr3.3468. PMC 7752574. PMID 33363960.
  2. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Vary, JC; O'Connor, KM (May 2014). "Common Dermatologic Conditions". Medical Clinics of North America. 98 (3): 445–85. doi:10.1016/j.mcna.2014.01.005. PMID 24758956.
  3. 1 2 3 Tintinalli, Judith E. (2010). Emergency Medicine: A Comprehensive Study Guide (Emergency Medicine (Tintinalli)) (7th ed.). New York: McGraw-Hill Companies. p. 1016. ISBN 978-0-07-148480-0.
  4. 1 2 3 Mistry, RD (Oct 2013). "Skin and soft tissue infections". Pediatric Clinics of North America. 60 (5): 1063–82. doi:10.1016/j.pcl.2013.06.011. PMID 24093896.
  5. ↑ Edwards, G; Freeman, K; Llewelyn, MJ; Hayward, G (12 February 2020). "What diagnostic strategies can help differentiate cellulitis from other causes of red legs in primary care? (PDF)". BMJ. Retrieved 2026-07-18.
  6. 1 2 3 4 Phoenix, G; Das, S; Joshi, M (Aug 7, 2012). "Diagnosis and management of cellulitis". BMJ. Clinical Research. 345 e4955. doi:10.1136/bmj.e4955. PMID 22872711. S2CID 28902459.
  7. ↑ Dryden, M (Sep 2015). "Pathophysiology and burden of infection in patients with diabetes mellitus and peripheral vascular disease: focus on skin and soft-tissue infections". Clinical Microbiology and Infection. 21: S27 – S32. doi:10.1016/j.cmi.2015.03.024. PMID 26198368.
  8. ↑ GBD 2015 Disease and Injury Incidence and Prevalence Collaborators (8 October 2016). "Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015". Lancet. 388 (10053): 1545–1602. doi:10.1016/S0140-6736(16)31678-6. PMC 5055577. PMID 27733282.
  9. ↑ GBD 2015 Mortality and Causes of Death Collaborators (8 October 2016). "Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015". Lancet. 388 (10053): 1459–1544. doi:10.1016/S0140-6736(16)31012-1. PMC 5388903. PMID 27733281.

Read further

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  • Stevens, DL; Bisno, AL; Chambers, HF; Dellinger, EP; Goldstein, EJ; Gorbach, SL; Hirschmann, JV; Kaplan, SL; Montoya, JG; Wade, JC (15 July 2014). "Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America". Clinical Infectious Diseases. 59 (2): 147–59. doi:10.1093/cid/ciu296. PMID 24947530.
[edit | edit source]
  • "Cellulitis". MedlinePlus. U.S. National Library of Medicine. 24 December 2023.
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