Cellulitis: Difference between revisions
(abscess on ddx) |
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**Vancomycin, Clindamycin or TMP-SMZ plus a Beta Lactam. | **Vancomycin, Clindamycin or TMP-SMZ plus a Beta Lactam. | ||
*Mild cases or following initial parenteral therapy | *Mild cases or following initial parenteral therapy | ||
**Dicloxacillin or cephalexin | **Dicloxacillin or [[cephalexin]] | ||
==Source== | ==Source== | ||
Revision as of 07:45, 5 February 2014
Background
- Acute non-purulent spreading infection of the subcutanous tissue, causing overlying skin inflammation
- Most often caused by strep, staph, MRSA
- H.flu is most common cause in the orbit.
DDx
- Deep Venous Thrombosis
- Necrotizing Fasciitis
- Osteomyelitis
- Abscess
Diagnosis
- Often accompanied by fever, chills, malaise, HA, vomiting
- Rash
- Local redness, heat, swelling
- Warm tender indistinct margins. Pyrexia may signify systemic spread
Treatment
- For MRSA
- Vancomycin, Clindamycin or TMP-SMZ plus a Beta Lactam.
- Mild cases or following initial parenteral therapy
- Dicloxacillin or cephalexin
Source
- Tintinalli