Arm Cellulitis images

Dermatlas



See extensive images on skin infections and conditions:

Skinsight



This image comes from an excellent site for information on lymphedema.  Cellulitis can result in damage to the lymphatics, thus triggering what is referred to as secondary lymphedema.

Lymphedema Therapy

see also:  Arm Lymphedema



MRSA Abscess and Surrounding Cellulitis in Right Arm of Patient


Washington.edu





Cellulitis

The use of ultrasonography in diagnosis and management of superficial fascial space infections.

May 2012

Mukhi PU, Mahindra UR.

Source

Department of Oral and Maxillofacial Surgery, S.M.B.T Dental College and Hospital, Amrutnagar, Sangamner, Maharashtra, India.

Abstract

Aims and Objectives: To evaluate the role of ultrasonography as a diagnostic aid to differentiate cellulitis from abscess; and efficacy of ultrasound-guided surgical drainage of superficial abscesses in the maxillofacial region. 

Materials and Methods: a total of 26 patients with acute facial swellings were included in the study. Clinical examination confirmed the presence of space infection. Ultrasonographic examination of the swelling was then performed. If ultrasound images showed no collection and only thickness of subcutaneous tissue and muscle involved were increased, then the diagnosis was made as cellulitis. When collection was identified, diagnosis was made as abscess. Dimensions of abscess cavity, amount of pus collected, and depth of the center of the abscess cavity from the skin surface were recorded. Pus evacuation was then prime consideration either by needle aspiration or by incision and drainage. The amount of collection recorded on ultrasonography was compared with that drained at the time of surgery. 

Results: of 26 patients, 14 patients were diagnosed with cellulitis and the remaining 12 patients with abscesses in the maxillofacial region. Five of 12 cases of abscess were managed with ultrasound-guided needle aspiration; rest seven cases underwent the incision and drainage procedure. Clinical specificity (69.23%) was found to be poorer than ultrasound specificity (100 %), both clinical and ultrasound showed the same percentage of sensitivity (92.30%) 

Conclusions: from our experience we can conclude that ultrasonography is an inexpensive and non-invasive diagnostic technique that should be used to supplement clinical examination in patients with superficial fascial space infection.

PubMed

Breaking the mold of orbital cellulitis

Breaking the mold of orbital cellulitis

Surv Ophthalmol. 2008 Nov

Peden MC, Neelakantan A, Orlando C, Khan SA, Lessner A, Bhatti MT.
Department of Ophthalmology, University of Florida College of Medicine, Gainesville, Florida, USA.

A 52-year-old, immune-suppressed man presented with painful proptosis. Orbital imaging revealed enhancement of his right inferior rectus muscle and mild ethmoidal sinus disease. Sinus washings and turbinectomy demonstrated Curvularia. Despite aggressive intravenous antimicrobials, the patient remained febrile. Repeat imaging demonstrated a well-defined intramuscular abscess without contiguous orbital or paranasal involvement. Following surgical drainage, the patient improved. Cultures of the material expressed from the abscess confirmed a co-infection with Fusarium. Although rare, fungal abscess of the extraocular muscle should be considered in patients (particularly if immunosuppressed) with extraocular muscle enlargement resistant to conventional antimicrobial therapy. Prompt diagnosis and treatment could potentially prevent further serious morbidity or mortality.

Elsevier

Clindamycin versus Unasyn in the treatment of facial cellulitis of odontogenic origin in children.

Clindamycin versus Unasyn in the treatment of facial cellulitis of odontogenic origin in children.

Rush DE,
Abdel-Haq N, Zhu JF, Aamar B, Malian M.

Children's Hospital of Michigan and Wayne State University, Detroit, Michigan, USA.

The study was undertaken to characterize the microbiology of dental abscesses in children and to compare clindamycin and ampicillin/sulbactam in the treatment of facial cellulitis of odontogenic origin. Sixty children with acute facial cellulitis of dental origin underwent surgery (extraction or root canal procedure) within 24 hours of presentation. Pus samples were cultured aerobically and anaerobically. Patients were randomized (1:1) to receive intravenous ampicillin/sulbactam or clindamycin for 48 hours followed by oral amoxicillin/clavulanate or clindamycin for 7 days.

A total of 211 bacterial isolates were recovered from 54 samples. The most common aerobic and facultative organisms were viridans streptococci, Neisseria, and Eikenella species. Among anaerobes, Prevotella and Peptostreptococcus species were the most frequent. No treatment failure occurred in either group.

Dental abscesses in children are polymicrobial aerobic/anaerobic infections. Treatment of complicated dental infections with ampicillin plus a beta-lactamase inhibitor or clindamycinin combination with surgical drainage is very effective.

Key Words: clindamycin • Unasyn • dental • cellulitis • abscess • children

Sage Publications