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Recurrent cellulitis caused by a hidden abscess: a case report.

Chi Young Bang1, Seung Ho Lee1, Kunyong Sung2

  • 1Department of Plastic and Reconstructive Surgery, Kangwon National University Hospital, Chuncheon, Republic of Korea.

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Summary
This summary is machine-generated.

Persistent skin infections may require advanced evaluation beyond standard treatments. Identifying and removing hidden abscesses is crucial for resolving chronic cellulitis and soft tissue infections.

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Area of Science:

  • Infectious Diseases
  • Surgical Pathology

Background:

  • Skin and soft tissue infections (SSTIs) are common and usually respond to antibiotics and drainage.
  • Cellulitis is typically diagnosed by physical examination, but persistent cases warrant further investigation.
  • Refractory SSTIs necessitate considering causes like mycobacterial infection, osteomyelitis, foreign bodies, or malignancy.

Observation:

  • A 65-year-old male experienced persistent cellulitis despite multiple incision and drainage procedures over eight months.
  • The patient's cellulitis resolved only after the authors identified and surgically removed a previously undetected abscess pocket.

Findings:

  • Preoperative imaging and hematologic studies are vital for recurrent SSTIs unresponsive to standard care.
  • Comprehensive intraoperative examination is key to finding and removing hidden abscesses.
  • Thorough evaluation and intervention are essential for managing complex SSTIs.

Implications:

  • This case underscores the importance of a detailed diagnostic and surgical approach for chronic or recurrent SSTIs.
  • Identifying occult abscesses can lead to successful treatment outcomes in challenging infection cases.
  • Clinicians should consider less common causes and hidden abscesses in non-resolving infections.