What Are the Symptoms of Cellulitis?

Cellulitis is a widespread, diffuse, purulent inflammation of the skin and subcutaneous tissue caused by Staphylococcus aureus, hemolytic streptococcus, or saprophytic bacteria.

Basic Information

Also known as
Cellulitis
English name
cellulitis
Visiting department
Surgery, dermatology
Common causes
Staphylococcus aureus, hemolytic streptococcus, saprophytic bacteria
Common symptoms
The skin of the affected area was severely painful, showing diffuse redness, cold, and fever
Contagious
no

Cellulitis Pathology

The dermis and subcutaneous tissue have extensive, acute, and purulent inflammation changes, the hair follicles, sebaceous glands, and sweat glands are all destroyed, and granulomas are formed in the later stage.

Clinical manifestations of cellulitis

The skin of the affected area was severely painful, showing diffuse redness and swelling, and the state was unclear. There could be significant swollen edema, which was a hard lump at the beginning, and the central part became soft and ulcerated to form an ulcer. It became scarred in about 2 weeks. There may be systemic symptoms such as chills and fever, and some patients may develop lymphadenitis, lymphangitis, gangrene, and sepsis. Orbital cellulitis is a severe cellulitis.

Cellulitis diagnosis

According to the unclear redness and swelling on the skin, there are spontaneous pain and tenderness, and the center can be diagnosed by softening, fluctuations and ulceration.

Differential diagnosis of cellulitis

It should be distinguished from erysipelas, which is a clear inflammatory erythema with shallow lesions and mild infiltration.

Cellulitis Treatment

Systemic treatment
Patients should be strengthened in nutrition, given multiple vitamins orally, and if necessary, analgesics and antipyretics. High-dose antibiotics must be applied early.
Local treatment
Hot compresses can be applied locally, and the affected limb should be reduced in activity. Ultraviolet or ultra-short wave physical therapy can also be used. After the abscess is formed, incision and drainage need to be performed and the dressing changed daily.

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