Cellulitis: Difference between revisions

(Created page with "==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 c...")
 
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*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.
==DDx==
*Deep Venous Thrombosis
*Necrotizing Fasciitis


==Diagnosis==
==Diagnosis==
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==Treatment==
==Treatment==
*Simple erysipelas
*For MRSA
**Penicillin G (300K U/d IM for <30 kg, 600K to 1 million U/d IM for >30 kg)
**Vancomycin, Clindamycin or TMP-SMZ plus a Beta Lactam.
*Bullous erysipelas
*Mild cases or following initial parenteral therapy
**Clindamycin OR trimethoprim-sulfamethoxazole
**Dicloxacillin or cephalexin


==Source==
==Source==

Revision as of 18:59, 6 November 2013

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

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