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Bacterial cellulitis
Bacterial cellulitis is a term used for deep bacterial skin infections.
Streptococcal cellulitis is called erysipelas. Non streptococcal bacterial cellulitis can closely resemble erysipelas.
A red, indurated, hot, tender plaque expands in the area of involvement. There can be some systemic symptoms such as fever and malaise.
Staphylococcus aureus is the most common non streptococcal organism in adults, and Hemophilus influenza type B is an important cause of non streptococcal cellulitis in young children.
Treatment:
- Benzylpenicillin plus or minus cloxacillin
- Erythromycin
- Amoxicillin plus clavulinic acid, particularly for facial involvement with Hemophilus influenza
- Roxithromycin
- Ciprofloxacin
- Teichoplanin
- Granulocyte colony stimulating factor is of benefit to those who respond slowly or those who are immunosuppressed (diabetics or those with immunosuppressive diseases).
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