Diagnosis and management of cellulitis

Phoenix, Gokulan; Das, Saroj; Joshi, Meera
August 2012
BMJ: British Medical Journal (Overseas & Retired Doctors Edition;8/11/2012, Vol. 345 Issue 7869, p38
Academic Journal
The article presents an analysis of the most recent evidence in the diagnosis and management of cellulitis. Cellulitis is an acute, spreading, pyogenic inflammation of skin that results in high morbidity. It is caused by a wide range of organisms, but mainly by Streptococcus pyogenes or Staphylococcus aureus. Lymphoedema is both a predisposing factor and a complication of cellulitis which requires active management. Cellulitis can be diagnosed by acute, tender, erythematous, and swollen area of skin at the lower extremities. Blood investigations do not appear to be clinically useful for diagnosis. Rest, elevation of any affected limbs, and analgesia are suggested modes of treatment, however, in severe cases a person should be administered intravenous antibiotic.


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