Cellulitis is a soft tissue infection that can complicate wounds, ulcers, surgical sites, or breaks in the skin. Gram-positive pathogens are typically the causative agents of these superficial infections. Cellulitis can be distinguished from other superficial bacterial infections as it has a very rapid onset, and results in edematous, tender, erythematous skin. Cellulitis most commonly affects the lower limbs. The boundaries of inflammation should be traced with a marker in order to monitor any spread, and the infection is treated with oral antibiotics. Obesity, chronic edema, smoking, and history of cancer are known risk factors for recurrence of cellulitis. Elevating the legs, wearing compression socks, and eradicating any bacterial reservoirs in the axilla, groin, and nares can help minimize the risk of recurrence.
KeywordsCellulitis Bacteria Erysipelas Infection Soft tissue MRSA Wound Ulcer Staph Strep Staphylococcus Streptococcus Exudate Antibiotic Compression socks
- 2.Dalal A, Eskin-Shwartz M, Mimouni D, Ray S, Days W, Hodak E, Leibovici L, Paul M. Interventions for the prevention of recurrent erysipelas and cellulitis (Protocol). Cochrane Database Syst Rev. 2012;4, CD009758.Google Scholar
- 5.Lipworth AD, Saavedra AP, Weinberg AN, Johnson R. Chapter 178. Non-necrotizing infections of the dermis and subcutaneous fat: cellulitis and erysipelas. In: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K, editors. Fitzpatrick’s dermatology in general medicine. 8th ed. New York: McGraw-Hill; 2012.Google Scholar
- 6.Kilburn SA, Featherstone P, Higgins B, Brindle R. Interventions for cellulitis and erysipelas. Cochrane Database Syst Rev. 2010;6, CD004299.Google Scholar
- 7.Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL, Hirschmann JV, Kaplan SL, Montoya JG, Wade JC. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis. 2014;59(2):e10–52.CrossRefPubMedGoogle Scholar
- 8.Montalván Miró E, Sánchez NP. Cutaneous manifestations of infectious diseases. In: Sanchez NP, editor. Atlas of dermatology in internal medicine. New York: Springer; 2012.Google Scholar
Open Access This chapter is distributed under the terms of the Creative Commons Attribution Noncommercial License, which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.