Infectious cellulitis: better understand the treatment of this problem
Infectious cellulitis is a common skin infection that should not be confused with common cellulitis (gynecological lipodystrophy). The last table consists of the depressions of the skin in the corporal areas with fat that is also called "cellulite" in an erroneous way, but that is essentially an aesthetic complaint. Infectious cellulitis is usually caused by Streptococcus B bacteria, group A hemolytic (more rarely by other bacteria), it can be caused by bacteria. occurs in both sexes and is most often present between the fifth and sixth decade of life. Its incidence is 10 to 100 cases per 100,000 inhabitants per year and in this incidence is also computed the erisipela, since they are similar.
Pre-existing skin diseases (such as mycosis of the feet and nails, rashes, ulcer, etc.), trauma, operative wounds and vascular changes (such as venous insufficiency), poliomyelitis, infection (lymphedema) and risk factors such as diabetes mellitus, alcoholism, corticosteroids (corticosteroid treatment), chemotherapy and cancer are factors that can increase the frequency of the disease. > Infectious cellulitis presents as a painful, reddish area with local heat and swelling, with possible entry port (ie, skin wound). The condition, when it worsens, causes fever, chills, malaise, nausea, vomiting, and if it occurs on the face it may get worse in a few hours, especially when it occurs in children.
Treatment should be instituted immediately with the use of appropriate antibiotics, in most cases, systemic doses (intramuscular or intravenous), at least at the beginning of treatment, followed by the oral antibiotic if the process improves with the initial measurements.
Without treatment and diagnosis there is a progression of the disease resulting in a severe infection, which may progress to an abscess, destruction of the affected region, to be associated with deep vein thrombosis, followed of bacterial spread and death at a frequency ranging from 0.5 to 20% of the cases. Up to 12% of cases may have new seizures in up to six months after the first outbreak, especially if there are predisposing factors mentioned above.
Medical care should be sought as soon as possible, and death due to devaluation of the process and misinformation of patients with delayed treatment, which in itself is already complicated by the possibility of lack of response to the antibiotic or the condition is already in a generalized infection phase.
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