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Bilateral Cellulitis Presented As Lower-Extremity Pain Reported in a Chiropractic Clinic: A Case Report.
Eric Chun-Pu Chu1, Colin Lai1, Kevin S Huang1
1Chiropractic Department, EC Healthcare, Hong Kong, HKG.
Cureus
|March 2, 2023
Summary
Bilateral lower-extremity cellulitis, a serious infection, can cause lasting complications. Early detection via advanced imaging and prompt medical referral are crucial for effective management and preventing severe outcomes.
Area of Science:
- Medical Case Report
- Infectious Disease
- Diagnostic Imaging
Background:
- Bilateral lower-extremity cellulitis is a rare but severe condition with potential for long-term sequelae.
- Obesity is a common comorbidity that may influence the presentation and management of cellulitis.
Observation:
- A 71-year-old obese male presented with a two-month history of bilateral lower-extremity pain and ankle swelling.
- Initial symptoms included musculoskeletal pain and limited mobility, necessitating further investigation.
- Magnetic resonance imaging (MRI) was instrumental in identifying the extent of the bilateral lower-extremity cellulitis.
Findings:
- MRI confirmed bilateral lower-extremity cellulitis, a diagnosis subsequently validated by blood culture.
- The combination of clinical presentation and advanced imaging findings indicated the need for specialist medical referral.
Implications:
- Chiropractors and other healthcare providers must recognize early warning signs of infection.
- The importance of advanced imaging modalities like MRI in diagnosing complex infectious conditions is highlighted.
- Timely referral to a family doctor is critical for prompt treatment and mitigating long-term complications of lower-extremity cellulitis.
