Cellulitis: Difference between revisions

(osteo in ddx)
(abscess on ddx)
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*Necrotizing Fasciitis
*Necrotizing Fasciitis
*Osteomyelitis
*Osteomyelitis
*Abscess


==Diagnosis==
==Diagnosis==

Revision as of 19:33, 31 December 2013

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.

DDx

  • Deep Venous Thrombosis
  • Necrotizing Fasciitis
  • Osteomyelitis
  • Abscess

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
    • Dicloxacillin or cephalexin

Source

  • Tintinalli