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[Cellulitis: clinical manifestations and management].
C-L Blum1, S Menzinger, D Genné
1Service de médecine interne, Hôpital neuchâtelois-site La Chaux-de-Fonds, Rue Chasseral 20, 2300 La Chaux-de-Fonds.
Revue Medicale Suisse
|November 7, 2013
Summary
Cellulitis is a common bacterial skin infection, primarily affecting the lower legs. Prompt antibiotic treatment and rest are key to managing this condition and preventing recurrence.
Area of Science:
- Dermatology
- Infectious Diseases
- Bacteriology
Context:
- Cellulitis is an acute bacterial infection of the dermis and subcutaneous tissue.
- It commonly affects the lower extremities and presents with erythema, fever, and raised borders.
- Predisposing factors include skin breaches, edema, diabetes, and immunosuppression.
Purpose:
- To provide a comprehensive overview of cellulitis, encompassing its etiology, clinical presentation, diagnosis, and management.
- To highlight the common causative agents and potential complications of this infection.
Summary:
- Cellulitis is a non-necrotizing bacterial infection of the skin and subcutaneous tissue, often affecting the lower limbs.
- Diagnosis is primarily clinical, characterized by erythema, fever, and a raised border.
- Group A beta-hemolytic streptococcus is the most frequent pathogen (85%), though the causative agent is rarely identified.
- Recurrence is the most common complication, alongside abscess, fasciitis, and bacteremia.
Impact:
- This information aids clinicians in diagnosing and effectively treating cellulitis.
- Understanding predisposing factors and complications can improve patient outcomes and reduce recurrence rates.
- Emphasizes the importance of prompt antibiotic therapy and rest in managing cellulitis.
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