Good skin hygiene+ removal of crusted lesions in non
Topical if lesions are local (<5), if the lesions are not
local or there is fever and regional lymphadenopathy
use systemic antibiotics.
Topical: mupirocin tds for 3 to 5 days
Systemic: cephalexin 250-500 qid
Systemic mrsa: Clindamycin 300-450 qid
is the main cause.
Elevation if applicable
Control predisposing conditions
Hydrate the skin
Compression stocking and diuretic therapy to improve edema
Oral therapy: amoxicillin 500mg tds
Parenteral therapy: Ceftriaxone 1g iv daily
Improvement in 24 to 72 hrs.
1- S aureus(50%)
History and exam:
Localized erythema and confluent
Blanching and swelling
Lymphangitis with tender regional lymphadenopathy
History and physical exam:
Determine the extent of disease.
Search for breaches and fungal infections.
Mark the affected area.
Purulent or non purulent???
And classify the severity of cellulitis: