Cellulitis : Pathological features, Clinical features , Treatment

October 16, 2012 | By | Reply More

Cellulitis : Pathological features, Clinical features , Treatment

Cellulitis is the presence of actively dividing infectious bacteria within the tissues of the skin.
Pathological features
  • Skin entry by pathogenic bacteria (e.g. scratch, ulcer, hair follicle).
  • Gram-positive cocci (e.g. Strep pyogenes, Staphy aureus).
  • Usually heals by resolution if treated promptly.
  • Spread may result in lymphangitis; suppuration results in a furuncle (skin gland), carbuncle’ (upper dermis), or abscess (deep skin tissues).

Clinical features
  • Skin widely involved—warm, red, swollen, and exquisitely painful.
  • Crepitus indicates the development of gas forming tissue necrosis.

  • IV antibiotics—benzylpencillin (1g qds) and flucloxacillin (500mg qds).
  • Always assess with M, C+S of tissue fluid.

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Category: Pathology, Surgery

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