Cellulitis

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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.

Diagnosis

  • Often accompanied by fever, chills, malaise, HA, vomiting
  • Rash
    • Local redness, heat, swelling
    • Warm tender indistinct margins. Pyrexia may signify systemic spread

Treatment

  • Simple erysipelas
    • Penicillin G (300K U/d IM for <30 kg, 600K to 1 million U/d IM for >30 kg)
  • Bullous erysipelas
    • Clindamycin OR trimethoprim-sulfamethoxazole

Source

  • Tintinalli
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