Cellulitis and Erysipelas Overview
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Questions and Answers

What is the key difference between cellulitis and erysipelas?

  • Erysipelas is caused by methicillin-resistant S. aureus (MRSA).
  • Cellulitis has a sudden onset redness with well-demarcated borders.
  • Cellulitis is a superficial form of skin infection.
  • Erysipelas involves lymphatic channels and presents with poorly defined margins. (correct)

    • Which statement about cellulitis is FALSE?

  • Commonly occurs in head and neck in adults. (correct)
  • Constitutional symptoms like fever and malaise may be present.
  • Presence of red "streaking" in lymphatic channels is a characteristic feature.
  • It is usually caused by Streptococcus or Staphylococcus bacteria.

    • What distinguishes erysipelas from cellulitis in terms of presentation?

  • Cellulitis is more commonly associated with bullae, ulcers, and necrosis.
  • Cellulitis primarily affects the face, hands, and lower legs.
  • Erysipelas usually presents with a deep venous thrombosis (DVT).
  • Erysipelas has a sudden onset redness with well-demarcated, elevated borders. (correct)

    • What is the most appropriate initial step in the treatment of cellulitis or erysipelas?

    <p>Identify bacteria with wound cultures</p> Signup and view all the answers

    When should methicillin-resistant S. aureus (MRSA) infection be suspected?

    <p>In case of abscess presence and non-improvement with treatment</p> Signup and view all the answers

    What is the characteristic feature of erysipelas that distinguishes it from cellulitis?

    <p>&quot;Well demarcated, elevated border that is advancing&quot;</p> Signup and view all the answers

    What is the recommended action if a patient with lower extremity infection shows no improvement after 24 hours?

    <p>Refer to the hospital</p> Signup and view all the answers

    When should outpatient oral antibiotic treatment be initiated?

    <p>When constitutional signs like fever and malaise are present</p> Signup and view all the answers

    In which scenario would referral to the hospital be necessary for a patient with a wound?

    <p>If the wound appears to be necrotizing</p> Signup and view all the answers

    What are the criteria for outpatient oral antibiotic treatment to be considered in a patient?

    <p>Absence of constitutional signs like fever or malaise</p> Signup and view all the answers

    What postexposure tetanus prophylaxis should be given to patients aged 7 years and above with contaminated wounds?

    <p>Adult Td vaccine</p> Signup and view all the answers

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