Ninety hospitalized cellulitis patients and 90 population controls matched for age and sex were interviewed and clinically examined during the period April 2004 to March 2005. In multivariate analysis, chronic oedema of the extremity, disruption of the cutaneous barrier and obesity were independently associated with acute cellulitis. selleck chemical
Forty-four (49%) patients had a positive history (PH) of at least one cellulitis episode before entering the study. Obesity and previous ipsilateral surgical procedure were statistically significantly more common in PH patients, whereas a recent (<1?month) traumatic wound was more common in patients with a negative history (NH) of cellulitis. PH patients had longer duration of fever and hospital stay, and their CRP and leukocyte values more often peaked at a high level than those of NH patients. Oedema, broken skin and obesity are risk factors for acute cellulitis. The inflammatory response as indicated by CRP level and leukocyte count is statistically significantly more severe in PH than NH patients. Bacterial non-necrotizing cellulitis and erysipelas are acute infections of the skin and subcutaneous tissue. Erysipelas is often considered to be a superficial form of acute cellulitis. The typical clinical presentation of classic erysipelas is an acute onset of fever or chills together with localized skin inflammation that is sharply demarcated <a href="https://en.wikipedia.org/wiki/E-64
">E-64 from the surrounding normal skin. Cellulitis usually comprises more deeply situated skin infection. The distinction between erysipelas and cellulitis is not clear-cut . In clinical practice, especially in northern Europe, the term erysipelas is often used for cases beyond those meeting the strict definition, reflecting the common clinical features of these entities: sudden onset, usually high fever, response to similar treatment, and a tendency to recur. The most important causative organisms are group?A and group?G ��-haemolytic streptococci and Staphylococcus JQ1 research buy
aureus [2�C7]. Chronic leg oedema, obesity, history of previous erysipelas, prior saphenectomy, skin lesions as possible sites of bacterial entry and bacterial colonization of toe-webs have been recognized in previous case�Ccontrol studies as risk factors for erysipelas or cellulitis of the leg [8�C11]. In previous studies on recurrent cellulitis, overweight, venous insufficiency, chronic oedema, smoking, homelessness, prior malignancy, trauma or previous surgical intervention, ipsilateral dermatitis and tinea pedis have been recognized as risk factors [12�C15].