Cellulitis and erysipelas
Summary
Definition
ანამნეზი და გასინჯვა
ძირითადი დიაგნოსტიკური ფაქტორები
- skin discomfort
- macular erythema
- disruption of cutaneous barrier
- raised bright-red erythema with clearly demarcated margins (erysipelas)
- risk of infection with MRSA
სხვა დიაგნოსტიკური ფაქტორები
- history of diabetes
- constitutional prodrome
- lymphangitis/regional lymphadenopathy
- identifiable port of entry
- history of immunocompromise
- unusual exposure (salt or fresh water, bite)
რისკფაქტორები
- diabetes
- venous insufficiency and chronic leg edema
- dermatosis
- lymphedema
- prior episode of cellulitis
- toe web abnormalities
- intravenous drug use
- overweight
- military service
დიაგნოსტიკური კვლევები
1-ად შესაკვეთი გამოკვლევები
- CBC
- purulent focus culture and molecular diagnostic procedures
გასათვალისწინებელი კვლევები
- skin aspiration with culture and molecular diagnostic procedures
- blood cultures
- skin biopsy
- plain film x-ray
- ultrasound
- CT scan
- MRI
მკურნალობის ალგორითმი
mild
moderate
severe
treatment failure
frequent relapses
კონტრიბუტორები
ექსპერტი მრჩევლები
Arash Mostaghimi, MD, MPA, MPH
Associate Professor of Dermatology
Harvard Medical School
Vice Chair, Clinical Trials and Innovation
Director, Inpatient Consultation Service
Department of Dermatology
Brigham and Women’s Hospital
Boston
MA
Divulgaciones
AM has received fees or honoraria for consulting from hims and hers, AbbVie, Sun Pharma, Pfizer, Digital Diagnostics, Lilly, Equillium, ASLAN, Boehringer Ingelheim, Figure 1, Dermatheory, Olaplex, and Legacy Healthcare.
Agradecimientos
Dr Arash Mostaghimi would like to gratefully acknowledge Dr Matthew C. Robinson, the previous contributor to this topic.
Divulgaciones
MCR declares that he has no competing interests.
Revisores por pares
Robert W. Bradsher, MD
Ebert Professor of Medicine
Director
Division of Infectious Diseases
University of Arkansas for Medical Sciences
Little Rock
AR
Divulgaciones
RWB declares that he has no competing interests.
Jorg Ruhe, MD, MPH
Assistant Attending
Beth Israel Medical Center
New York
NY
Divulgaciones
JR declares that he has no competing interests.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
Raff AB, Kroshinsky D. Cellulitis: a review. JAMA. 2016 Jul 19;316(3):325-37. Resumen
Stevens DL, Bisno AL, Chambers HF, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis. 2014 Jul 15;59(2):e10-52.Texto completo Resumen
American College of Radiology. ACR appropriateness criteria: suspected osteomyelitis, septic arthritis, or soft tissue infection (excluding spine and diabetic foot). 2022 [internet publication].Texto completo
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Necrotizing fasciitis
- Thrombophlebitis, superficial
- Deep vein thrombosis
Más DiferencialesGuías de práctica clínica
- 2018 WSES/SIS-E consensus conference: recommendations for the management of skin and soft-tissue infections
- Practice guidelines for the diagnosis and management of skin and soft tissue infections
Más Guías de práctica clínicaVideos
Venepuncture and phlebotomy: animated demonstration
Peripheral intravascular catheter: animated demonstration
Más vídeosFolletos para el paciente
Cellulitis and erysipelas
Más Folletos para el paciente
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