Swollen leg II: Cellulitis

Published on 02/04/2015 by admin

Filed under Internal Medicine

Last modified 02/04/2015

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217 Swollen leg II

Cellulitis

Instruction

Look at this patient’s leg.

Salient features

History

• History of fever and chills

• Diabetes

• Animal (or human!) bites

• Exposure to seawater (Vibrio vulnificus), fresh water (Aeromonas hydrophila) or aquacultured fish (Streptococcus iniae).

Examination

• Red, inflamed leg with a definite demarcation of erythematous area (Fig. 217.1)

• Oedema

• Increased temperature

• Crepitus: crepitant cellulitis is produced by either Clostridia sp. or non-spore-forming anaerobes (Bacteroides spp, peptostreptococci and peptococci).

image

Fig. 217.1 Cellulitis.

(With permission from Habif 2009.)

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