CELLULITIS
PRESENTED BY MALE SURGICAL WARD
CELLULITIS
An acute spreading bacterial infection beneath the skin surface
characterized by redness (erythema), warmth, swelling and pain
in the infected area of the skin.
Cellulitis occurs when bacteria breaks the skin barrier to enter
and release their toxins into the subcutaneous tissues.
ETIOLOGY
Bacteremic spread of infection – Staphylococcus aureus and
Streptococci are usual causative agents.
H. Influenzae (periorbital cullulitis)
Community acquired Methicillin-Resistant Staphylococcus
Aureus (MRSA)-most likely the pathogen present in severe
infection
P R E D I S P O S I N G R I S K FA C T O R S
Immuno-compromised host ( Eg, Leukaemia, HIV/AIDS and
DM)
Dermatitis such as tinea pedis
Break in the skin from an abrasion, a cut or a skin ulcer.
Local trauma, such as an animal bite, punctured wounds.
Obesity
History of cellulitis
PAT H O P H Y S I O L O G Y
Break in the skin, such as a fissure, cut, laceration, insect bite, or
punctured wound causes entry of bacteria into the subcutaneous
tissue.
Deep inflammation of subcutaneous tissue from enzymes
produced by bacteria.
SIGNS AND SYMPTOMS
Fever
Chills
Erythema
Swelling
Local tenderness and pain
Enlarged and tender lymph nodes.
Malaise
Blisters
Skin dimpling
DIAGNOSIS
History Collection
Physical Examination
Wound Swab for Culture and Sensitivity Test.
Full Blood Count
MANAGEMENT
Mild cases of cellulitis can be treated on an outpatient basis with oral
antibiotic therapy with Dicloxacillin, Amoxicillin, or Cephalexin.
Pain management – Acetaminophen 10-15mg/kg per day po q4-6hours.
Patient with Penicillin allergy; Clindamycin/Vancomycin or a
Macrolide(Clarithromycin/Azithromycin) are reasonable alternatives.
Trimethoprim-sulfamethoxazole 8-12mg/kg per day po bd for 7 days.
NON-PHARMACOLOGIC
I N T E RV E N T I O N S
Apply moist heat to the affected area
Immobilize the affected part and Elevate the extremity above
heart level.
Wash cuts or punctured wounds with soap and water to keep the
area clean and dry.
Good nutrition
Adequate rest.
C O M P L I C AT I O N S
Blood infection (Septicaemia)
Bone infection (Osteomyelitis)
Lymphangitis
Endocarditis
Tissue death
Shock
Thrombophlebitis
THE END
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