{"id":41565,"date":"2011-08-10T09:42:51","date_gmt":"2011-08-10T13:42:51","guid":{"rendered":"http:\/\/dominicanewsonline.com\/news\/?p=41565"},"modified":"2011-08-10T09:42:51","modified_gmt":"2011-08-10T13:42:51","slug":"health-talk-cellulitis","status":"publish","type":"post","link":"https:\/\/dominicanewsonline.com\/news\/homepage\/columns\/health-talk\/health-talk-cellulitis\/","title":{"rendered":"HEALTH TALK: Cellulitis"},"content":{"rendered":"

\"\"INTRODUCTION<\/strong><\/p>\n

Cellulitis is a potentially serious bacterial infection of your skin. It appears as a swollen, red area of skin that feels hot and tender, and it may spread quickly.<\/p>\n

Skin on your face or lower legs is most commonly affected by this infection, though cellulitis can occur on any part of your body. It may be superficial \u2013 affecting only your skin\u2019s surface \u2013 but cellulitis may also affect the tissues underlying your skin and can spread to your lymph nodes (glands) and bloodstream.<\/p>\n

If untreated, the spreading bacterial infection may rapidly turn into a life-threatening condition. So it\u2019s important to recognize the signs and symptoms of cellulitis and to seek immediate medical attention it they occur.<\/p>\n

SIGNS AND SYMPTOMS<\/strong><\/p>\n

Cellulitis will cause skin to be:<\/p>\n

\u2022\u00a0\u00a0\u00a0 Red
\n\u2022\u00a0\u00a0\u00a0 Swollen
\n\u2022\u00a0\u00a0\u00a0 Tender (painful when touched or pressure applied)
\n\u2022\u00a0\u00a0\u00a0 Warm<\/p>\n

The change in your skin may be accompanied by a fever. With time, the area of redness tends to expand. Small red spots may appear on top of reddened skin and, less commonly, small blisters may form and burst.<\/p>\n

CAUSES<\/strong><\/p>\n

When one or more types of bacteria enter through a crack or break in your skin, cellutitis occurs. The two most common types of bacteria that cause cellulitis are streptococcus and staphylococcus.<\/p>\n

Cellulitits can occur anywhere on your body, but the most common location is the legs, especially near your shin and ankles. Disrupted areas of skin, such as where you\u2019ve had recent surgery, cuts, puncture wounds, an ulcer, dermatitis or eczema, or athlete\u2019s foot, serve as the most likely areas for bacteria to enter.<\/p>\n

Certain types of insects or, less commonly in our environment, spider bites can also transmit the bacteria that start the infection. Areas of dry skin or flaky skin can also be an entry point for bacteria, as can swollen skin.<\/p>\n

RISK FACTORS<\/strong><\/p>\n

Several factors put you at greater risk of developing cellulitis.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Age. As you get older, your blood circulation system becomes less effective at delivering blood \u2013 with its infection-fighting white blood cells \u2013 to some areas of your body. As a result, skin abrasions may lead to infections such as cellulitis where your circulation is poor.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Weakened immune system. Illnesses that result in weakening of your immune system leave you more open to infections such as cellulitis. Certain types of leukemia and HIV infection are examples. Taking immune suppressing drugs, such as prednisolone, also can leave you more vulnerable to infections. These drugs are used in a variety of illnesses, such as asthma and rheumatoid arthritis, and to help prevent rejection of organs in people who receive transplants.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Diabetes. Not only is your blood sugar level increased in diabetes but your immune system is also impaired, increasing your risk of infection. Your skin is one of the many body areas that become more likely to be infected. Diabetes also results in decreased circulation of blood to your legs and feet, potentially leading to chronic ulcers of your feet. Remember too that your nerves are damaged in diabetes, so you may not feel that you have sustained an abrasion or other injury to your extremity. These portals of entry, including ulcers, allow entry for bacterial infections.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Chickenpox and shingles. These common viral diseases typically cause broken blisters on the skin that can serve as potential entry points for bacterial invasion and infection.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Chronic fungal infection on your feet and toes. Recurrent fungal infection of your feet or toes can cause cracks in your skin, increasing your risk for cellulitis.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Chronic swelling of your arms or legs (lymphedema). Swollen tissues may crack, leaving your skin vulnerable to bacterial infection.<\/p>\n

WHEN TO SEEK MEDICAL ADVICE<\/strong><\/p>\n

If you have a rash that\u2019s red, swollen, tender and warm \u2013 and it\u2019s expanding \u2013 try to see doc the same day. If a fever or pain is also present, or the rash is changing rapidly, seek emergency care. It\u2019s important to identify and treat cellulitis early because the condition can cause a serious infection by spreading rapidly throughout your body.<\/p>\n

SCREENING AND DIAGNOSIS<\/strong><\/p>\n

Your skin\u2019s appearance will help the doctor make a diagnosis. He or she may also suggest blood tests, a wound culture or other test to help rule out a blood clot deep in the veins of you legs (DVT). Cellulitis in the lower leg is characterized by signs and symptoms that may be similar to those of a DVT, such as warmth and swelling.<\/p>\n

COMPLICATIONS<\/strong><\/p>\n

The reddened skin or rash may signal a deeper, more serious infection of your skin\u2019s inner layers. Once below the skin, the bacteria can spread quickly, entering the glands and bloodstream and spreading throughout your body.<\/p>\n

In rare cases, the infection can spread to the deep layer of tissue called the fascial lining. Flesh-eating strep, also called necrotizing fasciitis (remember this from TV in the U.S. some years back?) is an example of a deep-layer infection. This is an extreme emergency.<\/p>\n

TREATMENT<\/strong><\/p>\n

An antibiotic by mouth may be prescribed to treat cellulitis. Doctor will likely follow you up one or two days after starting you on one, but not always, particularly if he\u2019s pretty confident it\u2019s the one(s) that will do the trick (or is not the type to bleed you of another fee). Antibiotics are usually taken for about ten days, during which time, cellulitis signs and symptoms will often disappear (like in a few days). If they don\u2019t clear up, if they\u2019re extensive (signs and symptoms, that is), or if you have a high fever, you may need to be hospitalized and receive antibiotics through your veins.<\/p>\n

Antibiotics are usually prescribed that are effective against both streptococci and staphylococci. One will be chosen based on your circumstances.<\/p>\n

PREVENTION<\/strong><\/p>\n

To help prevent cellulitis and other infections, the following measures may help every time you have a skin wound.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Apply an antibiotic cream or ointment. For mort superficial wounds, this provides adequate protection.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Wash your wound daily with soap and water. Do this gently as part or your normal bathing.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Cover your wound with a bandage. This keeps the wound clean and bacteria out. If you have draining blisters, keep them covered until a scab forms.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Change bandages often. This means at least daily or whenever the bandage becomes wet or dirty.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Watch for signs of infection. Redness, pain and drainage all indicate possible infection and the need for medical assessment.<\/p>\n

Diabetes and those with poor circulation need to take extra care to protect skin wounds and treat any cuts or cracks in the skin immediately. Good measures for skin-care include the following:<\/p>\n

\u2022\u00a0\u00a0\u00a0 Moisturize your skin regularly. Lubricating your skin helps prevent cracking and peeling.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Trim your fingernails and toenail carefully. Take care not to injure the surrounding skin.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Protect your hands and feet. Wear proper footwear and gloves.<\/p>\n

\u2022\u00a0\u00a0\u00a0 Promptly treat any superficial skin infections, such as athlete\u2019s foot. Infections on your skin\u2019s surface can easily spread from person to person. Start treatment soon<\/p>\n

See you next week.<\/p>\n","protected":false},"excerpt":{"rendered":"INTRODUCTION Cellulitis is a potentially serious bacterial infection of your skin. It appears as a swollen, red area of skin that feels hot and tender, and it may spread quickly. 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