Cellulitis : Pathological features, Clinical features , Treatment
Cellulitis is the presence of actively dividing infectious bacteria within the tissues of the 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
widely involvedâ€”warm, red, swollen, and exquisitely painful.
Crepitus indicates the development
of gas forming tissue necrosis.
IV antibioticsâ€”benzylpencillin (1g qds) and flucloxacillin (500mg qds).
Always assess with M, C+S of tissue fluid.
Category: Pathology, Surgery