Cellulitis: Difference between revisions
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*H.flu is most common cause in the orbit. | *H.flu is most common cause in the orbit. | ||
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Revision as of 15:36, 5 November 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.
Differential Diagnosis
General
Skin and Soft Tissue Infection
- Cellulitis
- Erysipelas
- Lymphangitis
- Folliculitis
- Hidradenitis suppurativa
- Skin abscess
- Necrotizing soft tissue infections
- Mycobacterium marinum
Look-A-Likes
- Sporotrichosis
- Osteomyelitis
- Deep venous thrombosis
- Pyomyositis
- Purple glove syndrome
- Tuberculosis (tuberculous inflammation of the skin)
Hand Infection
Hand and finger infections
- Bed bugs
- Closed fist infection (Fight Bite)
- Hand cellulitis
- Hand deep space infection
- Hand-foot-and-mouth disease
- Herpetic whitlow
- Felon
- Flexor tenosynovitis
- Paronychia
- Scabies
- Sporotrichosis
Look-Alikes
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