Cellulitis: Difference between revisions
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==Background== | ==Background== | ||
*Acute non-purulent spreading infection of the subcutanous tissue, causing overlying skin inflammation | *Acute non-purulent spreading infection of the subcutanous tissue, causing overlying skin inflammation | ||
*Most often caused by strep, staph, MRSA | *Most often caused by strep, staph, [[MRSA]] | ||
*H.flu is most common cause in the orbit. | *H.flu is most common cause in the orbit. | ||
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==Diagnosis== | ==Diagnosis== | ||
*Often accompanied by fever, chills, malaise, HA, vomiting | *Often accompanied by fever, chills, malaise, HA, vomiting | ||
*Rash | *[[Rash]] | ||
**Local redness, heat, swelling | **Local redness, heat, swelling | ||
**Warm tender indistinct margins. Pyrexia may signify systemic spread | **Warm tender indistinct margins. Pyrexia may signify systemic spread | ||
==Treatment== | ==Treatment== | ||
*For MRSA | *For [[MRSA]] | ||
**[[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]] | ||
==See Also== | ==See Also== | ||
Revision as of 05:29, 21 March 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
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
See Also
Source
- Tintinalli