Monday, January 02, 2006

Abdominal wall cellulitis in the morbidly obese

Abdominal wall cellulitis in the morbidly obese.


Thorsteinsdottir B, Tleyjeh IM, Baddour LM.

Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55902, USA.

Currently, almost two-thirds of the US population is either overweight or obese. In addition to non-infectious complications, obesity predisposes to infections, including lower extremity cellulitis. Although cases of abdominal wall cellulitis in the morbidly obese occur, to date there has been no formal address of this syndrome in the literature. We therefore reviewed our clinical experience of abdominal wall cellulitis complicating morbid obesity. A retrospective database search was performed to identify patients with both cellulitis and morbid obesity who were seen at the Mayo Clinic between January 1998 and August 2003. Clinical and microbiologic data were collected for these patients. Of the 260 cases of cellulitis identified, 24 (9.2%) had morbid obesity and abdominal wall cellulitis. The mean age of the 24 patients was 47 (range 22-70) y and over two-thirds of them were females. Their mean body mass index (BMI) was 62.3 (range 39.6-108.6). 17 (70.8%) had a remote history of abdominal surgery. 16 patients required 23 hospitalizations. Five patients developed cellulitis complications and 7 (29.1%) patients had recurrent bouts of cellulitis during the study period. Abdominal wall cellulitis is a unique infectious complication in patients with morbid obesity. Further study is needed to better define the pathogenesis of this illness to develop strategies in treatment and prevention.

PMID: 16138431 [
PubMed - indexed for MEDLINE]

Scandanavia Journal of Infectious Disease


At 7:19 PM, Blogger Pat O'Connor said...


OK, so I am going to take a minute and express a pet peeve of mine.

In this blog world that I am new too, I found found there is an overwhelming amount of bad and/or fraudulent information.

Cellulitis is a serious, potentially life threatening bacterial infection. I have endured many massive infections throughout my life and have had complications and problems as a result. The infection can even lead to amputation of a limb, gangrene or death.

Cellulite is a fat condition and is totally unrelated.

As a person who has experienced cellulitis, I consider it fraud and internet abuse for these cellulite blogspots to spam the internet trying to capture readers by connecting the two words.

It is a shame they have such a lack of integrity.


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