cellulitis and erysples

Cellulitis

erysiples

الرحيم الرحمن اللة بسم Omdurman Islamic university

Cellulitis is an acute or subcute or chronic subconnective tissue inflammation

Erysyplis is a bacrerial infection of dermis and

subcutineous

Common in children less than 3 year

def

S aureus H iflunza type b Gas Less common

Group b strep PneumococciProteus mirbalis P arginovsa

Predispoising factorsManutrition and anemia Alcholism d.MChronic depletory disease

Eitiology

aFter the entry of the pathogenes the inflamation spread in the tissue by

Hyaluronidase break the poly sacraid Fibrinolysis agians fibrinLecithinases destroy cell membrane

So the nubmer of infective organism usually small and that suggesting that cellulitis mybe more to the reaction of cytokinas than overwhelming growth

Pathogensis

Erysples Cellulitis

Sever systamic symptom ( high fever

malaise )

May be present

Erythrematous Welldefined edge Bulla also common

ErythrematousIll define border

Clinical picture

Localization face lower extremities gentalia extermties

Septicemia Endocarditis Nephritis Subcutneous abases Lymphedma

complication

E r y s i p e l as

erysiplas

Cellulitis

Cellulitis

Investigation Smear Gram stain cultureWbc

Imaging MRI , U/S or CT

diagnosis

Stasis eczema Gaint utricaria Insect biteFixed drug eruption

Differential diagnosis

Explaining the condition to the patientSubacetate compressor Local anti biotic

PenicillinErythromycinCephalosporin

For reccurent cases long term penicillin

Management

Casee study