Abstract: This chapter explores the clinical presentation, microbiology, and treatment of cellulitis and erysipelas. Erysipelas is a superficial skin infection limited to the upper dermis and superficial lymphatics with a distinct clinical presentation. The legs are the most commonly affected site, but erysipelas can occur anywhere on the body. Meanwhile, cellulitis is a type of acute bacterial skin and skin-structure infection (ABSSSI) that involves the deep dermis and extends into the subcutaneous tissue. Clinically, cellulitis presents as a unilateral, ill-defined, erythematous, firm plaque in conjunction with the four cardinal signs of inflammation: rubor, calor, dolor, and tumor. Skin manifestations are often preceded by fever, chills, and malaise. Though there are notable differences between erysipelas and cellulitis, the treatment is similar and typically based on disease severity and presence of purulence. Systemic antimicrobial therapy is the treatment of choice for cellulitis/erysipelas. In addition to antimicrobial therapy, local measures including immobilization and elevation as well as supportive measures such as warm compresses can hasten recovery and alleviate symptoms.
Publication Year: 2021
Publication Date: 2021-10-01
Language: en
Type: book-chapter
Indexed In: ['crossref']
Access and Citation
Cited By Count: 4
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