Cellulitis causes: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
(35 intermediate revisions by 11 users not shown) | |||
Line 3: | Line 3: | ||
{{Cellulitis}} | {{Cellulitis}} | ||
==Overview== | |||
[[Group A streptococcal infection|Group A streptococcus]] and [[staphylococcus]are the most common causative agents of cellulitis. These bacteria are part of the normal flora living on the skin. | |||
==Causes== | |||
===Life Threatening Causes=== | |||
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | |||
===Common Causes=== | |||
*[[Group A streptococcal infection|Group A streptococcus]] <ref name="pmid6768328">{{cite journal| author=Fleisher G, Ludwig S| title=Cellulitis: a prospective study. | journal=Ann Emerg Med | year= 1980 | volume= 9 | issue= 5 | pages= 246-9 | pmid=6768328 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6768328 }} </ref> | |||
*[[Staphylococcus]] <ref name="pmid6768328">{{cite journal| author=Fleisher G, Ludwig S| title=Cellulitis: a prospective study. | journal=Ann Emerg Med | year= 1980 | volume= 9 | issue= 5 | pages= 246-9 | pmid=6768328 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6768328 }} </ref> | |||
===Less Common Causes=== | |||
Less common causes of cellulitis include: | |||
*Gram-negative aerobic bacilli <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> | |||
===Causes by Organ System=== | |||
== | {|style="width:80%; height:100px" border="1" | ||
[[ | |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | ||
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Chronic venous insufficiency]], [[coronary artery bypass graft surgery]], [[lymphatic obstruction]], [[lymphedema]], [[peripheral vascular disease]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Chemical / poisoning''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Dermatologic''' | |||
|bgcolor="Beige"| [[Acute bacterial dermohypodermatitis]], [[Chediak-Higashi syndrome]], [[dermatitis]], [[erysipelas]], [[hidradenitis suppurativa]], [[insect bites and stings]], [[lymphatic obstruction]], [[lymphedema]], [[non-necrotising cellulitis]], [[paronychia]], [[stasis dermatitis]], [[systemic lupus erythematosus]], [[tattoo]], [[Wells syndrome]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Drug Side Effect''' | |||
|bgcolor="Beige"| [[Belimumab]], [[corticosteroids]], [[luliconazole]], [[oritavancin]], [[panitumumab]], [[pergolide]], [[romidepsin]], [[tiagabine]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Ear Nose Throat''' | |||
|bgcolor="Beige"|[[deep neck infection|Deep neck space infections]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Endocrine''' | |||
|bgcolor="Beige"|[[Diabetes mellitus]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Environmental''' | |||
|bgcolor="Beige"|[[Paronychia]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Gastroenterologic''' | |||
|bgcolor="Beige"| [[Chronic liver disease]], [[cirrhosis]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Genetic''' | |||
|bgcolor="Beige"| [[Chediak-Higashi syndrome]], [[Wells syndrome]], [[WHIM syndrome]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Hematologic''' | |||
|bgcolor="Beige"|[[Wells syndrome]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Iatrogenic''' | |||
|bgcolor="Beige"| [[Mastectomy]], [[radiation therapy]], [[radical surgery|radical neck surgery]], [[vein stripping|saphenous vein stripping]], [[venectomy]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Infectious Disease''' | |||
|bgcolor="Beige"| [[Acute bacterial dermohypodermatitis]], [[adenitis]], [[aeromonas hydrophila]], [[animal bite]], [[athlete's foot]], [[beta-hemolytic streptococci]], [[candida albicans]], [[capnocytophaga canimorsus]], [[citrobacter]], [[clostridium perfringens]], [[clostridium]], [[cryptococcus neoformans]], [[deep neck infection|deep neck space infections]], [[dermatitis]], [[eikenella corrodens]], [[enterobacter]], [[erysipelas]], [[erysipelothrix rhusiopathiae]], [[fusarium]], [[group A streptococcus]], [[haemophilus influenzae]], [[helicobacter|helicobacter cinaedi]], [[herpes simplex]], [[HIV]], [[mastitis]], [[meningococcus]], [[MRSA]], [[nocardiosis]], [[non-necrotising cellulitis]], [[orbital cellulitis]], [[pasteurella multocida]], [[pasteurella]],[[periorbital cellulitis]], [[peritonsillar abscess]], [[pneumococcus]], [[pseudomonas aeruginosa]], [[quinsy]], [[serratia]], [[staphylococcus aureus]], [[streptobacillus moniliformis]], [[streptococcus agalactiae]], [[streptococcus|streptococcus iniae]], [[streptococcus pneumoniae]], [[streptococcus]], [[varicella]], [[vibrio vulnificus]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Musculoskeletal / Ortho''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Neurologic''' | |||
|bgcolor="Beige"|[[Chediak-Higashi syndrome]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Nutritional / Metabolic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Obstetric/Gynecologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Oncologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Opthalmologic''' | |||
|bgcolor="Beige"| [[Orbital cellulitis]], [[periorbital cellulitis]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Overdose / Toxicity''' | |||
|bgcolor="Beige"|[[Substance abuse]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Psychiatric''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Pulmonary''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Renal / Electrolyte''' | |||
|bgcolor="Beige"| [[Nephrotic syndrome]], [[systemic lupus erythematosus]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Rheum / Immune / Allergy''' | |||
|bgcolor="Beige"| [[Eosinophilic cellulitis]], [[systemic inflammatory response syndrome]], [[systemic lupus erythematosus]], [[WHIM syndrome]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Sexual''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Trauma''' | |||
|bgcolor="Beige"| [[Animal bite]], [[trauma]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Urologic''' | |||
|bgcolor="Beige"| No underlying causes | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Dental''' | |||
|bgcolor="Beige"| [[Ludwig's angina]], [[Ludwig's angina|submandibular cellulitis]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Miscellaneous''' | |||
|bgcolor="Beige"| [[breast implant|Breast implant infections]], [[mastectomy]], [[deep inguinal lymph nodes|pelvic lymph node dissection]] | |||
|- | |||
|} | |||
===Causes in Alphabetical Order=== | |||
{{columns-list| | |||
*[[Acute bacterial dermohypodermatitis]] | |||
*[[Adenitis]] | |||
*[[Aeromonas hydrophila]] | |||
*[[Animal bite]] | |||
*[[Belimumab]] | |||
*[[Beta-hemolytic streptococci]] | |||
*[[breast implant|Breast implant infections]] | |||
*[[Candida albicans]] | |||
*[[Capnocytophaga canimorsus]] | |||
*[[Chediak-Higashi syndrome]] | |||
*[[Chronic liver disease]] | |||
*[[Chronic venous insufficiency]] | |||
*[[Cirrhosis]] | |||
*[[Citrobacter]] | |||
*[[Clostridium]] | |||
*[[Clostridium perfringens]] | |||
*[[Coronary artery bypass graft surgery]] | |||
*[[Corticosteroids]] | |||
*[[Cryptococcus neoformans]] | |||
*[[deep neck infection|Deep neck space infections]] | |||
*[[Dermatitis]] | |||
*[[Diabetes mellitus]] | |||
*[[Eikenella corrodens]] | |||
*[[Enterobacter]] | |||
*[[Eosinophilic cellulitis]] | |||
*[[Erysipelas]] | |||
*[[Erysipelothrix rhusiopathiae]] | |||
*[[Fusarium]] | |||
*[[Group A streptococcus]] | |||
*[[Haemophilus influenzae]] | |||
*[[helicobacter|Helicobacter cinaedi]] | |||
*[[Herpes simplex]] | |||
*[[Hidradenitis suppurativa]] | |||
*[[HIV]] | |||
*[[Insect bites and stings]] | |||
*[[Ludwig's angina]] | |||
*[[Luliconazole]] | |||
*[[Lymphatic obstruction]] | |||
*[[Lymphedema]] | |||
*[[Mastectomy]] | |||
*[[Mastitis]] | |||
*[[Meningococcus]] | |||
*[[MRSA]] | |||
*[[Mucormycosis]] <ref name="pmid23524816">{{cite journal| author=Gen R, Horasan EŞ, Vaysoğlu Y, Arpaci RB, Ersöz G, Özcan C| title=Rhino-orbito-cerebral mucormycosis in patients with diabetic ketoacidosis. | journal=J Craniofac Surg | year= 2013 | volume= 24 | issue= 2 | pages= e144-7 | pmid=23524816 | doi=10.1097/SCS.0b013e31827c7eb8 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23524816 }} </ref> | |||
*[[Nephrotic syndrome]] <ref name="pmid23502669">{{cite journal| author=Ajayan P, Krishnamurthy S, Biswal N, Mandal J| title=Clinical spectrum and predictive risk factors of major infections in hospitalized children with nephrotic syndrome. | journal=Indian Pediatr | year= 2013 | volume= 50 | issue= 8 | pages= 779-81 | pmid=23502669 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23502669 }} </ref> | |||
*[[Nocardiosis]] | |||
*[[Non-necrotising cellulitis]] | |||
*[[Orbital cellulitis]] | |||
*[[Oritavancin]] | |||
*[[Panitumumab]] | |||
*[[Paronychia]] | |||
*[[Pasteurella]] | |||
*[[Pasteurella multocida]] | |||
*[[deep inguinal lymph nodes|Pelvic lymph node dissection]] | |||
*[[Pergolide]] | |||
*[[Periorbital cellulitis]] | |||
*[[Peripheral vascular disease]] | |||
*[[Peritonsillar abscess]] | |||
*[[Pneumococcus]] | |||
*[[Pseudomonas aeruginosa]] | |||
*[[Quinsy]] | |||
*[[Radiation therapy]] | |||
*[[radical surgery|Radical neck surgery]] | |||
*[[Romidepsin]] | |||
*[[vein stripping|Saphenous vein stripping]] | |||
*[[Serratia]] | |||
*[[Staphylococcus aureus]] | |||
*[[Stasis dermatitis]] | |||
*[[Streptobacillus moniliformis]] | |||
*[[Streptococcus]] | |||
*[[Streptococcus agalactiae]] | |||
*[[streptococcus|Streptococcus iniae]] | |||
*[[Streptococcus pneumoniae]] | |||
*[[Ludwig's angina|Submandibular cellulitis]] | |||
*[[Substance abuse]] | |||
*[[Systemic inflammatory response syndrome]] | |||
*[[Systemic lupus erythematosus]] | |||
*[[Tattoo]] | |||
*[[Tiagabine]] | |||
*[[Trauma]] | |||
*[[Varicella]] | |||
*[[Venectomy]] | |||
*[[Vibrio vulnificus]] | |||
*[[Wells syndrome]] | |||
*[[WHIM syndrome]] | |||
}} | |||
===Causes Based on Anatomical Location, Medical and Exposure History=== | |||
The causative pathogen of cellulitis varies with the anatomical location and the patient’s medical and exposure history. | |||
{| style="border: 2px solid #DCDCDC; font-size: 90%;" | |||
|+ ''Predisposing factor, anatomical location, and likely etiology of cellulitis''<ref name="Swartz-2004">{{Cite journal | last1 = Swartz | first1 = MN. | title = Clinical practice. Cellulitis. | journal = N Engl J Med | volume = 350 | issue = 9 | pages = 904-12 | month = Feb | year = 2004 | doi = 10.1056/NEJMcp031807 | PMID = 14985488 }}</ref> | |||
|- | |||
| style="padding: 0 5px; background: #DCDCDC; width: 25%;" align=center | '''Predisposing Factor''' | |||
| style="padding: 0 5px; background: #DCDCDC; width: 15%;" align=center | '''Anatomical Location''' | |||
| style="padding: 0 5px; background: #DCDCDC; width: 40%;" align=center | '''Likely Etiology''' | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Periorbital (preseptal) cellulitis | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Eyelid and periocular tissues | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | ''[[Staphylococcus aureus]]'', ''[[Streptococcus pneumoniae]]'', ''[[Streptococcus pyogenes]]'' | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Buccal cellulitis in children without Hib vaccine | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Cheek | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | ''[[Haemophilus influenzae]]'' | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Cellulitis complicated by body piercing | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Ear, nose, umbilicus | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | ''[[S. aureus]]'', ''[[S. pyogenes]]'' | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Perianal cellulitis | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Perineum | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | ''[[S. pyogenes]]'' | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Subcutaneous injection of illicit drugs (“skin popping”) | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Extremities, neck | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | ''[[S. aureus]]'', ''[[Streptococcus]]'' (group A, B, C, F, G) | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Breast surgert with axillary lymph node dissection | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Ipsilateral arm | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Non–group A [[Streptococcus#Beta-Hemolytic Streptococci|beta-hemolytic]] ''[[Streptococcus]]'' | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Harvest of saphenous vein | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Ipsilateral leg | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | [[Streptococcus#Beta-Hemolytic Streptococci|Beta-hemolytic]] ''[[Streptococcus]]'' | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Crepitant or gangrenous cellulitis | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Extremities, Trunk | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | ''[[Clostridium]]'' or non–[[Endospore#Endospore-Forming Anaerobes|spore-forming]] [[anaerobe]]s; alone or with ''[[E. coli]]'', ''[[Klebsiella]]'', or ''[[Aeromonas]]'' | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Diabetic foot ulcer | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Dorsum of foot or toes | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | ''[[S. aureus]]'', ''[[Streptococcus]]'', ''[[Enterobacteriaceae]]'', ''[[P. aeruginosa]]'', ''[[Acinetobacter]]'', or [[anaerobe]]s | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Exposure to salt water at breeches of skin | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Extremities | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | ''[[Vibrio vulnificus]]'' | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Exposure to fresh water at breeches of skin | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Extremities | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | ''[[Aeromonas hydrophila]]'' | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Medicinal leech therapy | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Extremities | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | ''[[Aeromonas hydrophila]]'' | |||
|- | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Working as a butcher, fish or clam handler, veterinarian | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | Fingers | |||
| style="padding: 0 5px; background: #F5F5F5;" align=left valign=top | ''[[Erysipelothrix rhusiopathiae]]'' | |||
|} | |||
==References== | ==References== | ||
{{ | |||
{{reflist|2}} | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
Line 18: | Line 296: | ||
[[Category:Diseases involving the fasciae]] | [[Category:Diseases involving the fasciae]] | ||
[[Category:Inflammations]] | [[Category:Inflammations]] | ||
[[Category: | [[Category:Needs content]] | ||
[[Category:Needs causes]] | |||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} |
Latest revision as of 18:15, 19 February 2021
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Cellulitis Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Cellulitis causes On the Web |
American Roentgen Ray Society Images of Cellulitis causes |
Overview
Group A streptococcus and [[staphylococcus]are the most common causative agents of cellulitis. These bacteria are part of the normal flora living on the skin.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Less Common Causes
Less common causes of cellulitis include:
- Gram-negative aerobic bacilli [2]
Causes by Organ System
Causes in Alphabetical Order
- Acute bacterial dermohypodermatitis
- Adenitis
- Aeromonas hydrophila
- Animal bite
- Belimumab
- Beta-hemolytic streptococci
- Breast implant infections
- Candida albicans
- Capnocytophaga canimorsus
- Chediak-Higashi syndrome
- Chronic liver disease
- Chronic venous insufficiency
- Cirrhosis
- Citrobacter
- Clostridium
- Clostridium perfringens
- Coronary artery bypass graft surgery
- Corticosteroids
- Cryptococcus neoformans
- Deep neck space infections
- Dermatitis
- Diabetes mellitus
- Eikenella corrodens
- Enterobacter
- Eosinophilic cellulitis
- Erysipelas
- Erysipelothrix rhusiopathiae
- Fusarium
- Group A streptococcus
- Haemophilus influenzae
- Helicobacter cinaedi
- Herpes simplex
- Hidradenitis suppurativa
- HIV
- Insect bites and stings
- Ludwig's angina
- Luliconazole
- Lymphatic obstruction
- Lymphedema
- Mastectomy
- Mastitis
- Meningococcus
- MRSA
- Mucormycosis [3]
- Nephrotic syndrome [4]
- Nocardiosis
- Non-necrotising cellulitis
- Orbital cellulitis
- Oritavancin
- Panitumumab
- Paronychia
- Pasteurella
- Pasteurella multocida
- Pelvic lymph node dissection
- Pergolide
- Periorbital cellulitis
- Peripheral vascular disease
- Peritonsillar abscess
- Pneumococcus
- Pseudomonas aeruginosa
- Quinsy
- Radiation therapy
- Radical neck surgery
- Romidepsin
- Saphenous vein stripping
- Serratia
- Staphylococcus aureus
- Stasis dermatitis
- Streptobacillus moniliformis
- Streptococcus
- Streptococcus agalactiae
- Streptococcus iniae
- Streptococcus pneumoniae
- Submandibular cellulitis
- Substance abuse
- Systemic inflammatory response syndrome
- Systemic lupus erythematosus
- Tattoo
- Tiagabine
- Trauma
- Varicella
- Venectomy
- Vibrio vulnificus
- Wells syndrome
- WHIM syndrome
Causes Based on Anatomical Location, Medical and Exposure History
The causative pathogen of cellulitis varies with the anatomical location and the patient’s medical and exposure history.
Predisposing Factor | Anatomical Location | Likely Etiology |
Periorbital (preseptal) cellulitis | Eyelid and periocular tissues | Staphylococcus aureus, Streptococcus pneumoniae, Streptococcus pyogenes |
Buccal cellulitis in children without Hib vaccine | Cheek | Haemophilus influenzae |
Cellulitis complicated by body piercing | Ear, nose, umbilicus | S. aureus, S. pyogenes |
Perianal cellulitis | Perineum | S. pyogenes |
Subcutaneous injection of illicit drugs (“skin popping”) | Extremities, neck | S. aureus, Streptococcus (group A, B, C, F, G) |
Breast surgert with axillary lymph node dissection | Ipsilateral arm | Non–group A beta-hemolytic Streptococcus |
Harvest of saphenous vein | Ipsilateral leg | Beta-hemolytic Streptococcus |
Crepitant or gangrenous cellulitis | Extremities, Trunk | Clostridium or non–spore-forming anaerobes; alone or with E. coli, Klebsiella, or Aeromonas |
Diabetic foot ulcer | Dorsum of foot or toes | S. aureus, Streptococcus, Enterobacteriaceae, P. aeruginosa, Acinetobacter, or anaerobes |
Exposure to salt water at breeches of skin | Extremities | Vibrio vulnificus |
Exposure to fresh water at breeches of skin | Extremities | Aeromonas hydrophila |
Medicinal leech therapy | Extremities | Aeromonas hydrophila |
Working as a butcher, fish or clam handler, veterinarian | Fingers | Erysipelothrix rhusiopathiae |
References
- ↑ 1.0 1.1 Fleisher G, Ludwig S (1980). "Cellulitis: a prospective study". Ann Emerg Med. 9 (5): 246–9. PMID 6768328.
- ↑ Raff AB, Kroshinsky D (2016). "Cellulitis: A Review". JAMA. 316 (3): 325–37. doi:10.1001/jama.2016.8825. PMID 27434444.
- ↑ Gen R, Horasan EŞ, Vaysoğlu Y, Arpaci RB, Ersöz G, Özcan C (2013). "Rhino-orbito-cerebral mucormycosis in patients with diabetic ketoacidosis". J Craniofac Surg. 24 (2): e144–7. doi:10.1097/SCS.0b013e31827c7eb8. PMID 23524816.
- ↑ Ajayan P, Krishnamurthy S, Biswal N, Mandal J (2013). "Clinical spectrum and predictive risk factors of major infections in hospitalized children with nephrotic syndrome". Indian Pediatr. 50 (8): 779–81. PMID 23502669.
- ↑ Swartz, MN. (2004). "Clinical practice. Cellulitis". N Engl J Med. 350 (9): 904–12. doi:10.1056/NEJMcp031807. PMID 14985488. Unknown parameter
|month=
ignored (help)