Cellulitis vs Erysipelas: Skin Infections Comparison
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Questions and Answers

What is the main difference between cellulitis and erysipelas?

  • The depth of skin inflammation (correct)
  • The types of bacteria causing the infection
  • The affected body parts
  • The severity of fever
  • How can one differentiate erysipelas from cellulitis based on the appearance of skin inflammation?

  • Erysipelas has less marginated erythema with elevated margins, while cellulitis has well-defined borders. (correct)
  • Both conditions exhibit similar skin discoloration patterns.
  • Erysipelas displays a clear boundary between inflamed and normal skin, unlike cellulitis.
  • Cellulitis shows raised margins around the inflamed area, while erysipelas has diffuse redness.
  • Which antibiotic is commonly used to treat cellulitis?

  • Ciprofloxacin
  • Amoxicillin (correct)
  • Gentamicin
  • Vancomycin
  • What distinguishes erysipelas from cellulitis in terms of fever?

    <p>Cellulitis presents with high-grade fever, while erysipelas usually results in mild fever.</p> Signup and view all the answers

    In which of the following cases would topical Gentamicin and Fucidic acid NOT be recommended?

    <p>In cases where an individual is allergic to penicillin</p> Signup and view all the answers

    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.

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