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Related Experiment Videos

Cellulitis: initial management

G Fleisher, S Ludwig, F Henretig

    Annals of Emergency Medicine
    |July 1, 1981
    PubMed
    Summary
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    Hemophilus influenzae is an important cause of pediatric cellulitis, particularly facial infections. An algorithm identifying fever and high white blood cell counts can help manage H. influenzae cellulitis and prevent complications.

    Area of Science:

    • Pediatric Infectious Diseases
    • Dermatology

    Background:

    • Staphylococcus aureus and Streptococcus pyogenes are common causes of cellulitis.
    • Recent research highlights Hemophilus influenzae's role in pediatric facial cellulitis.

    Purpose of the Study:

    • To develop an algorithm for managing pediatric cellulitis based on identifying Hemophilus influenzae infections.
    • To correlate H. influenzae with clinical signs like fever and leukocytosis.

    Main Methods:

    • Children with cellulitis were classified into four groups based on infection site, temperature, and white blood cell (WBC) count.
    • The algorithm focused on identifying children with H. influenzae, characterized by fever and elevated WBCs.

    Main Results:

    • Hemophilus influenzae was identified in two Group IV (facial) and one Group III (extremity, high fever, high WBC) patients.

    Related Experiment Videos

  • These H. influenzae cases presented with high fever (39.5-40.1 C) and elevated WBC counts (19,200-26,000/cu mm).
  • Children with cellulitis not caused by H. influenzae typically lacked both fever and leukocytosis.

    • Conclusions:

    • The devised algorithm effectively identifies pediatric patients with H. influenzae cellulitis at risk for septic complications.
    • This approach aids in minimizing unnecessary diagnostic and therapeutic interventions for cellulitis.