Cellulitis
Last Updated: 2021-09-25
ICD11: 1B70.0
Last Updated: 2021-09-25
Author(s): Anzengruber F., Navarini A.
ICD11: 1B70.0
Whetstone (Watestone), 1598.
Cellulitis, wound erysipelas, erysipelas, erysipelas, Streptodermia cutanea lymphatica.
Bacterial, dermal infection of the lymphatic clefts and vessels, which is characterised by localised redness, swelling and hyperthermia.
2 / 1000 / year, rate is increasing.
Clinical classification
Mostly the lower legs are affected, but cellulitis can occur (almost) anywhere. Always look for entry points such as macerated tinea interdigitalis pedis.
Edema of the corium and subcutis, vascular dilatations with bulging erythrocyte-filled blood vessels, sometimes erythrocyte extravasations, perivascular infiltrates of lymphocytes, inflammatory infiltrates with neutrophilic polymorphonuclear granulocytes, sometimes the detection of bacilli (Gram, Giemsa stain) is possible.
Penicillin 250mg bd. can be taken orally as prophylaxis. As the main culprit of cellulitis does not develop resistance to penicillin, this strategy has been shown to be effective as long as the drug is continued.
Risk of relapses increases with each attack of cellulitis.
Even with antibiotic treatment, erythema can continue to spread for 24-48 hours.
Topical therapy
Systemic therapy
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