Cellulitis history and symptoms: Difference between revisions
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{{CMG}}; | {{Cellulitis}} | ||
{{CMG}}; {{AE}} [[User:Aditya Govindavarjhulla|Aditya Govindvarjhulla, M.B.B.S.]] | |||
==Overview== | ==Overview== | ||
Cellulitis is most often a clinical diagnosis, and local cultures do not always identify the causative organism. [[Blood culture]]s are usually positive only if the patient develops generalized [[sepsis]]. Conditions that may resemble cellulitis include [[deep vein thrombosis]], and [[stasis dermatitis]]. | Cellulitis is most often a clinical diagnosis, and local cultures do not always identify the causative organism. [[Blood culture]]s are usually positive only if the patient develops generalized [[sepsis]]. Conditions that may resemble cellulitis include [[deep vein thrombosis]], and [[stasis dermatitis]]. | ||
==History | ==History and Symptoms== | ||
Patients presenting with cellulitis often have a recent history of an injury in the affected area. Cellulitis can develop from neglected minor injuries that have become infected. The disease generally takes days after the initial injury to present, but it can progress rapidly in severe cases. | ===History=== | ||
Patients presenting with cellulitis often have a recent history of an injury in the affected area. Cellulitis can develop from neglected minor injuries that have become infected. The disease generally takes days after the initial injury to present, but it can progress rapidly in severe cases. <ref name="pmid21410612">{{cite journal| author=Bailey E, Kroshinsky D| title=Cellulitis: diagnosis and management. | journal=Dermatol Ther | year= 2011 | volume= 24 | issue= 2 | pages= 229-39 | pmid=21410612 | doi=10.1111/j.1529-8019.2011.01398.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21410612 }} </ref> <ref name="pmid29404597">{{cite journal| author=Bystritsky R, Chambers H| title=Cellulitis and Soft Tissue Infections. | journal=Ann Intern Med | year= 2018 | volume= 168 | issue= 3 | pages= ITC17-ITC32 | pmid=29404597 | doi=10.7326/AITC201802060 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29404597 }} </ref> | |||
Co-morbid conditions are the most important factors to be looked at when cellulitis has developed. History of [[diabetes mellitus]], kidney disease, liver disease, [[HIV]] infection, or any other immunodeficient | Co-morbid conditions are the most important factors to be looked at when cellulitis has developed. History of [[diabetes mellitus]], kidney disease, liver disease, [[HIV]] infection, or any other immunodeficient conditions are to be inquired about and noted in the patient's history. | ||
History of other skin diseases | History of other skin diseases such as any [[fungal infection]]s, [[dermatitis]], and [[venous insufficiency]] are to be obtained because they may have served as an entry point for the pathogen. | ||
Past surgical history is also an important factor in determining the cause of a patient's cellulitis. Previous history of any [[lymph node dissection]] may be a risk factor because it points to an underlying condition that predisposes a person to infection. <ref name="pmid30390916">{{cite journal| author=Ortiz-Lazo E, Arriagada-Egnen C, Poehls C, Concha-Rogazy M| title=An Update on the Treatment and Management of Cellulitis. | journal=Actas Dermosifiliogr | year= 2019 | volume= 110 | issue= 2 | pages= 124-130 | pmid=30390916 | doi=10.1016/j.ad.2018.07.010 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30390916 }} </ref> | |||
===Symptoms=== | |||
Symptoms include: | |||
Symptoms | |||
* [[Fever]] | * [[Fever]] | ||
* Pain or tenderness in the affected area | * Pain or tenderness in the affected area | ||
| Line 24: | Line 25: | ||
* Warm [[skin]] in the the area of redness | * Warm [[skin]] in the the area of redness | ||
* Signs of [[infection]]: | * Signs of [[infection]]: | ||
** Chills or shaking | ** [[Chills]] or shaking | ||
** Fatigue | ** [[Fatigue]] | ||
** General ill feeling | ** General ill feeling | ||
** Muscle aches and pains | ** Muscle aches and pains | ||
| Line 33: | Line 34: | ||
** Hair loss at the site of infection | ** Hair loss at the site of infection | ||
** Joint stiffness caused by swelling of the tissue over the joint | ** Joint stiffness caused by swelling of the tissue over the joint | ||
** [[Nausea]] and [[vomiting]] | ** [[Nausea]] and [[vomiting]] <ref name="pmid21410612">{{cite journal| author=Bailey E, Kroshinsky D| title=Cellulitis: diagnosis and management. | journal=Dermatol Ther | year= 2011 | volume= 24 | issue= 2 | pages= 229-39 | pmid=21410612 | doi=10.1111/j.1529-8019.2011.01398.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21410612 }} </ref> <ref name="pmid22014791">{{cite journal| author=Gunderson CG| title=Cellulitis: definition, etiology, and clinical features. | journal=Am J Med | year= 2011 | volume= 124 | issue= 12 | pages= 1113-22 | pmid=22014791 | doi=10.1016/j.amjmed.2011.06.028 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22014791 }} </ref> <ref name="pmid27434444">{{cite journal| author=Raff AB, Kroshinsky D| title=Cellulitis: A Review. | journal=JAMA | year= 2016 | volume= 316 | issue= 3 | pages= 325-37 | pmid=27434444 | doi=10.1001/jama.2016.8825 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27434444 }} </ref> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | |||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
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[[Category:Diseases involving the fasciae]] | [[Category:Diseases involving the fasciae]] | ||
[[Category:Inflammations]] | [[Category:Inflammations]] | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindvarjhulla, M.B.B.S.
Overview
Cellulitis is most often a clinical diagnosis, and local cultures do not always identify the causative organism. Blood cultures are usually positive only if the patient develops generalized sepsis. Conditions that may resemble cellulitis include deep vein thrombosis, and stasis dermatitis.
History and Symptoms
History
Patients presenting with cellulitis often have a recent history of an injury in the affected area. Cellulitis can develop from neglected minor injuries that have become infected. The disease generally takes days after the initial injury to present, but it can progress rapidly in severe cases. [1] [2]
Co-morbid conditions are the most important factors to be looked at when cellulitis has developed. History of diabetes mellitus, kidney disease, liver disease, HIV infection, or any other immunodeficient conditions are to be inquired about and noted in the patient's history.
History of other skin diseases such as any fungal infections, dermatitis, and venous insufficiency are to be obtained because they may have served as an entry point for the pathogen.
Past surgical history is also an important factor in determining the cause of a patient's cellulitis. Previous history of any lymph node dissection may be a risk factor because it points to an underlying condition that predisposes a person to infection. [3]
Symptoms
Symptoms include:
- Fever
- Pain or tenderness in the affected area
- Skin redness or inflammation that gets bigger as the infection spreads
- Skin sore or rash that starts suddenly, and grows quickly in the first 24 hours
- Tight, glossy, "stretched" appearance of the skin
- Warm skin in the the area of redness
- Signs of infection:
- Warm skin
- Sweating
- Other symptoms that can occur with this disease:
References
- ↑ 1.0 1.1 Bailey E, Kroshinsky D (2011). "Cellulitis: diagnosis and management". Dermatol Ther. 24 (2): 229–39. doi:10.1111/j.1529-8019.2011.01398.x. PMID 21410612.
- ↑ Bystritsky R, Chambers H (2018). "Cellulitis and Soft Tissue Infections". Ann Intern Med. 168 (3): ITC17–ITC32. doi:10.7326/AITC201802060. PMID 29404597.
- ↑ Ortiz-Lazo E, Arriagada-Egnen C, Poehls C, Concha-Rogazy M (2019). "An Update on the Treatment and Management of Cellulitis". Actas Dermosifiliogr. 110 (2): 124–130. doi:10.1016/j.ad.2018.07.010. PMID 30390916.
- ↑ Gunderson CG (2011). "Cellulitis: definition, etiology, and clinical features". Am J Med. 124 (12): 1113–22. doi:10.1016/j.amjmed.2011.06.028. PMID 22014791.
- ↑ Raff AB, Kroshinsky D (2016). "Cellulitis: A Review". JAMA. 316 (3): 325–37. doi:10.1001/jama.2016.8825. PMID 27434444.