Podcast
Questions and Answers
What is the main difference between cellulitis and erysipelas?
What is the main difference between cellulitis and erysipelas?
How can one differentiate erysipelas from cellulitis based on the appearance of skin inflammation?
How can one differentiate erysipelas from cellulitis based on the appearance of skin inflammation?
Which antibiotic is commonly used to treat cellulitis?
Which antibiotic is commonly used to treat cellulitis?
What distinguishes erysipelas from cellulitis in terms of fever?
What distinguishes erysipelas from cellulitis in terms of fever?
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In which of the following cases would topical Gentamicin and Fucidic acid NOT be recommended?
In which of the following cases would topical Gentamicin and Fucidic acid NOT be recommended?
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Study Notes
Cellulitis vs Erysipelas
- Cellulitis is caused by Streptococcus (80-90%) and Staphylococcus (10-20%)
- Erysipelas is a pure Streptococcus infection
Clinical Features of Cellulitis
- Local signs of inflammation: warmth, swelling, tenderness
- Typically affects the lower limbs, but can occur in any site
- Skin inflammation occurs at a deeper level, involving subcutaneous tissue
- Erythema is less marginated compared to erysipelas
- Mild fever
Clinical Features of Erysipelas
- Mostly affects the face
- Elevated margins of erythema
- High fever, sudden onset
Treatment of Cellulitis
- Systemic penicillin (oral or IM) is the primary treatment
- Ceftriaxone is used if allergic to penicillin
- Penicillin is not given IV due to the risk of anaphylaxis
- Topical Gentamicin and Fucidic acid can be used in addition to systemic treatment
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Description
Learn about the differences between cellulitis and erysipelas skin infections, including their causes, clinical features, and affected areas. Understand how cellulitis is mainly caused by streptococcus or staph, while erysipelas is a pure strep infection.