Understanding Cellulitis

A Comprehensive Guide to Skin Infections

Dermatology

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Last updated: Mar 24, 2025

What Is Cellulitis?

Cellulitis is a common but potentially serious bacterial skin infection that affects the deeper layers of skin and the subcutaneous tissues. It occurs when bacteria enter through a break in the skin.

Key Symptoms

  • Redness and warmth in the affected area
  • Swelling and tenderness
  • Skin that appears stretched or glossy
  • Pain or soreness in the affected area
  • Fever in some cases
  • Potential spreading of redness over time

Risk Factors

  • Breaks in the skin (cuts, scrapes, ulcers)
  • Chronic skin conditions like eczema
  • Compromised immune system
  • Obesity
  • Lymphedema
  • History of cellulitis

Diagnosis

Diagnosis is primarily clinical, based on:

  1. Physical examination
  2. Medical history
  3. Blood tests (if necessary)
  4. Wound cultures in specific cases

Treatment Options

Primary Treatments

  • Oral antibiotics for most cases
  • Intravenous antibiotics for severe cases
  • Rest and elevation of affected area

Supportive Care

  • Pain management
  • Proper wound care
  • Cold compresses for comfort

Prevention

  1. Clean wounds promptly
  2. Moisturize skin to prevent cracking
  3. Treat underlying skin conditions
  4. Practice good hygiene
  5. Protect skin from injury

When to Seek Medical Care

Seek immediate medical attention if you experience:

  • Rapidly spreading redness
  • Fever above 100.4°F (38°C)
  • Severe pain
  • Red streaks extending from the affected area

Complications

If left untreated, cellulitis can lead to:

  • Deep tissue infection
  • Sepsis
  • Bone or joint infection
  • Recurrent episodes

Recovery and Follow-up

  • Complete all prescribed antibiotics
  • Attend follow-up appointments
  • Monitor for signs of recurrence
  • Address underlying risk factors

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