11,932 results match your criteria Cellulitis
Case Rep Dermatol Med 2018 20;2018:1984593. Epub 2018 Jun 20.
Mercer University School of Medicine, Columbus, GA, USA.
Cutaneous squamous cell carcinoma (SCC) is a common form of skin cancer and often appears as a hard, scaly lump that occasionally ulcerates. It is usually associated with cumulative exposure to ultraviolet light, although prior scarring, chronic wounds, exposure to radiation, HPV infection, and immunosuppression are also associated risk factors. Primary SCC of the nipple is very rare and only a few cases have been reported. Read More
Case Rep Ophthalmol 2018 May-Aug;9(2):315-321. Epub 2018 Jun 13.
Department of Microbiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Background: Ocular basidiobolomycosis is an unusual infection caused by fungus of the order Entomophthorales. This fungus has been previously reported as a common cause of skin, subcutaneous, and gastrointestinal tract infection. The fungus isolation and its typical characteristics are clues for diagnosis of this uncommon pathogen. Read More
J Gen Intern Med 2018 Jul 18. Epub 2018 Jul 18.
Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA.
Background: Cellulitis is a common cause of hospitalization. In the USA, the International Classification of Diseases (ICD) code "other cellulitis and abscess" accounts for 1.4% of all admissions and $5. Read More
Plast Reconstr Surg 2018 Jul 10. Epub 2018 Jul 10.
Background: Vascularized lymph node transfer (VLNT) has shown promising results in the treatment of lower limb lymphedema, but little is known about the number of lymph nodes needed for the transfer to achieve optimal results. This study investigated the correlation between number of transferred lymph nodes in submental VLNT and outcomes regarding limb circumference reduction and cellulitis incidence.
Methods: Thirty-five patients who had received submental VLNT to an ankle for lower limb lymphedema, post-gynecological cancer treatment, were included in the study. Read More
J Obstet Gynaecol Res 2018 Jul 18. Epub 2018 Jul 18.
Women's Health Center, VKF American Hospital, Istanbul, Turkey.
Aim: To evaluate the safety and efficacy of unidirectional barbed suture technique for vaginal cuff closure in total laparoscopic hysterectomy (TLH).
Methods: In a retrospective chart review, data were analyzed from 165 patients who underwent a TLH with an unidirectional barbed suture technique for vaginal cuff closure from January 2012 to June 2016 at tertiary-care university-based teaching hospital and academic affiliated hospital. Vaginal cuff was closed by single layer 3/0 V-Loc unidirectional 9″, 180 day Absorbable Wound Closure Device (Covidien Healthcare, Mansfield, MA) and the suture was not stitched backward to secure distal end. Read More
Arch Argent Pediatr 2018 Aug;116(4):e548-e553
Facultad de Odontología, Universidad de Carabobo (UC), Venezuela.
An odontogenic infection is a polymicrobial, mixed infection (aerobic and anaerobic bacteria). It comprises various clinical conditions, whose importance varies depending on their frequency and potential severity. It is the most common type of oral infection and its treatment involves up to 10% of all antibiotic prescriptions. Read More
Phlebology 2018 Jan 1:268355518785482. Epub 2018 Jan 1.
Department of Surgery, Academic Medical Center, Amsterdam, the Netherlands.
Objective To reach consensus on which complications of varicose vein treatments physicians consider major or minor, in order to standardize the informed consent procedure and improve shared decision-making. Methods Using the e-Delphi method, expert physicians from 10 countries were asked to rate complications as "major" or "minor" on a 5-point Likert scale. Reference articles from a Cochrane review on varicose veins were used to compose the list of complications. Read More
Clin Exp Dermatol 2018 Jul 15. Epub 2018 Jul 15.
Department of Dermatology, Chelsea and Westminster Hospital, London, UK.
Background: Penile lymphoedema (with and without cellulitis) is a rare, often chronic, clinically heterogeneous entity with an uncertain pathogenesis and an important differential diagnosis. It creates significant physical and psychosexual morbidity, and presents considerable therapeutic challenges. The existing literature is limited. Read More
Ann Dermatol Venereol 2018 Jul 11. Epub 2018 Jul 11.
Service de dermatologie, centre des MST, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France; Groupe infectiologie dermatologique et infections sexuellement transmissibles (GrIDIST), société française de dermatologie, 10, cité Malesherbes, 75009 Paris, France.
J Am Acad Dermatol 2018 Jul 9. Epub 2018 Jul 9.
Department of Dermatology, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address:
Background: We previously demonstrated dermatology consultation to substantially reduce cellulitis misdiagnosis rates; however, broad implementation is impractical due to existing practice patterns and reimbursement systems. Meanwhile, efforts to improve diagnostic accuracy have culminated in point-of-care tools, including the ALT-70 predictive model for lower extremity cellulitis and thermal imaging.
Objective: To prospectively evaluate the performance of ALT-70 and thermal imaging in diagnosing lower extremity cellulitis in a head-to-head comparison. Read More
Infect Dis Ther 2018 Jul 12. Epub 2018 Jul 12.
Department of Microbiology, Leeds Teaching Hospitals NHS Trust, University of Leeds, Leeds, UK.
Introduction: Tedizolid phosphate 200 mg, once daily for 6 days, has recently been approved for the treatment of patients with acute bacterial skin and skin structure infections (ABSSSIs) in several countries; however, clinical experience in real-life settings is currently limited. Here, we report on the use of tedizolid with an extended treatment duration for complex and severe ABSSSIs in real-world clinical settings.
Methods: Two patients with cellulitis and two patients with surgical site infection (SSI), aged 26-60 years, were treated with tedizolid phosphate 200 mg, intravenous/oral (IV/PO) or IV only, once daily at four different institutions. Read More
Pediatr Dermatol 2018 Jul 12. Epub 2018 Jul 12.
Division of Dermatology, University of Toronto, Toronto, ON, Canada.
A 4-year-old boy presented with erythematous vesicular plaques, ulceration, edema, and pruritus on the left foot and ankle 10 days after receiving the tetanus, diphtheria, pertussis, and polio; measles, mumps, rubella, and varicella; and hepatitis A/B vaccines. Biopsy showed eosinophilic infiltrates and flame figures, suggesting Wells syndrome. Patch testing showed a 1+ reaction to neomycin and aluminum hydroxide, with a recall reaction of Wells syndrome of the feet bilaterally. Read More
Eur Arch Otorhinolaryngol 2018 Jul 11. Epub 2018 Jul 11.
Department of Otorhinolaryngology, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Purpose: Septic cavernous sinus thrombosis (CST) is a rare complication of infections in the head and neck area. CST is notorious for its bad prognosis, with high mortality and morbidity rates described in literature. However, these rates are based on old series. Read More
Medicine (Baltimore) 2018 Jul;97(28):e11319
Department of Clinical Nursing, Faculty of Health Sciences, Collegium Medicum, Jagiellonian University, Krakow, Poland.
Rationale: Effective wound healing depends on the adequate choice of the wound cleansing method, to enable rapid removal of necrotic tissue. Negative pressure wound therapy (NPWT) is an effective non-invasive technique for management of wounds of varied aetiology, including deep tissue injuries caused by pressure.
Patient Concerns: This article discusses a case of an 82-year-old female receiving hospice care at home owing to progressing untreated thoracic spinal stenosis, bedridden for 4 years, incapable of self-care. Read More
Ann Plast Surg 2018 Jul 10. Epub 2018 Jul 10.
From the Department of Plastic and Reconstructive Surgery, Sud Francilien Hospital, University Paris Sud XI, Evry, France.
Background: Breast lymphedema is a common issue after breast cancer surgery but remains understudied because it is difficult to be quantified. Untreated breast lymphedema may lead to severe form of delayed breast cellulitis. Supermicrosurgical lymphaticovenular anastomosis is one option for the treatment of breast cancer-related lymphedema but has not been described for the treatment of breast lymphedema. Read More
J Gen Intern Med 2018 Jul 10. Epub 2018 Jul 10.
San Francisco Veterans Affairs Health Care System, Department of Veterans Affairs, San Francisco, CA, USA.
Ophthalmic Plast Reconstr Surg 2018 Jul/Aug;34(4):329-332
Department of Ophthalmology, Seattle Children's Hospital, Seattle, Washington.
Purpose: Axial displacement of the globe with tenting centered on the optic nerve-globe junction is a predictor of visual loss in adults. The purpose of this study was to determine the visual outcomes of children with orbital cellulitis and globe tenting.
Methods: The records of 46 consecutive children with orbital cellulitis at a single tertiary children's hospital were reviewed retrospectively. Read More
Intern Med J 2018 Jul 9. Epub 2018 Jul 9.
Telethon Kids Institute, University of Western Australia, Perth, Western Australia.
Introduction: Lower leg cellulitis (LLC) is a common infection that is usually caused by Streptococcus pyogenes or other β-haemolytic streptococci. We hypothesised that in Western Australia (WA), LLC is a summer disease and would be more common in the northern, tropical regions.
Methods: We conducted a state-wide data linkage of adult patients presenting to WA hospitals with a first ever diagnosis of LLC, from January 2002 through December 2013 according to region and season. Read More
Clin Ophthalmol 2018 26;12:1149-1153. Epub 2018 Jun 26.
Department of Ophthalmology, Osaka Medical College, Takatsuki, Osaka, Japan,
Purpose: Idiopathic orbital inflammation (IOI) and orbital cellulitis can present similar clinical features, and the diagnoses of these two disorders are sometimes confused. The purpose of the present study was to determine whether or not inflammatory markers in the blood can be useful to differentiate between IOI and orbital cellulitis in cases with acute eyelid erythema and edema.
Subjects And Methods: In this retrospective single-institute study, we reviewed the medical records spanning the past 10 years at the Department of Ophthalmology, Osaka Medical College Hospital, Takatsuki, Osaka, Japan, and found 45 cases, with patients >15 years of age, with presumed IOI. Read More
Clin Exp Metastasis 2018 Jul 6. Epub 2018 Jul 6.
Harbor-UCLA Division of Plastic Surgery, Torrance, CA, USA.
Background/purpose: Lymphedema surgery, when integrated into a comprehensive lymphedema treatment program for patients, can provide effective and long-term improvements that non-surgical management alone cannot achieve. Such a treatment program can provide significant improvement for many issues such as recurring cellulitis infections, inability to wear clothing appropriate for the rest of their body size, loss of function of arm or leg, and desire to decrease the amount of lymphedema therapy and compression garment use.
Methods: The fluid predominant portion of lymphedema may be treated effectively with surgeries that involve transplantation of lymphatic tissue, called vascularized lymph node transfer (VLNT), or involve direct connections from the lymphatic system to the veins, called lymphaticovenous anastomoses (LVA). Read More
South Med J 2018 Jul;111(7):404-410
From the Departments of Internal Medicine and Family Medicine, University of South Carolina School of Medicine, Columbia, the Department of Internal Medicine, University of Washington School of Medicine, Spokane, the Department of Internal Medicine, Oregon Health & Science University, Portland, and the Departments of Family and Emergency Medicine, Contra Costa Regional Medical Center, Martinez, California.
Although the use of point-of-care ultrasound (POCUS) is well established in the emergency department (ED) and intensive care unit, the use of POCUS in the outpatient clinic setting is still emerging. General practitioners and specialists alike have increasing access to smaller and less expensive US devices that can assist in making timely diagnoses, guiding procedures, and monitoring patients. In this case-based review, we highlight some of the literature on simple-to-apply POCUS applications relevant to ambulatory medicine. Read More
Open Forum Infect Dis 2018 Jun 2;5(6):ofy100. Epub 2018 May 2.
Kaiser Permanente, Pasadena, Southern California.
Background: The 13-valent pneumococcal conjugate vaccine (PCV13) and the 23-valent pneumococcal polysaccharide vaccine (PPSV23) were both recommended to adults aged ≥65 years. The study examines adults ≥65 years for risk of adverse events (AEs) requiring medical attention following vaccination with PCV13 as compared with vaccination with PPSV23, a long-standing vaccine with a satisfactory safety profile.
Methods: The cohort study included 6 Vaccine Safety Datalink sites. Read More
Open Forum Infect Dis 2018 Jun 19;5(6):ofy051. Epub 2018 Mar 19.
The Medicines Company, San Diego, California.
Background: Oritavancin is a lipoglycopeptide used in the treatment of acute bacterial skin and skin structure infections (ABSSSIs) in adults. To characterize its use in patients in the postapproval setting, a patient registry was developed.
Methods: Data collected in an ongoing retrospective observational registry are used to evaluate the utilization, outcomes, and adverse events (AEs) associated with oritavancin for the treatment of infections presumed or confirmed to be caused by gram-positive (GP) bacteria in clinical practice. Read More
J Med Econ 2018 Jul 5:1-8. Epub 2018 Jul 5.
c Cardiovascular Center, Department of Surgery, Tufts Medical Center , Tufts University School of Medicine , Boston , MA , USA.
Aims: To assess the budget impact to a US commercial health plan of providing access to the Flexitouch (FLX) advanced pneumatic compression device (Tactile Medical) to lymphedema (LE) patients with either comorbid chronic venous insufficiency (CVI) or frequent infections.
Methods: Budget impact was calculated over 2 years for a hypothetical US payer with 10-million commercial members. Model inputs were derived from published sources and from a case-matched analysis of Blue Health Intelligence (BHI) claims data for the years 2012-2016. Read More
Am J Emerg Med 2018 Jun 18. Epub 2018 Jun 18.
Department of Dermatology, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, United States of America. Electronic address:
Exp Clin Transplant 2018 Jun 28. Epub 2018 Jun 28.
From the Division of Infectious Diseases, Department of Medicine, Mayo Clinic, Rochester Minnesota 55905, USA.
Cryptococcal infection has been documented in 2.8% of solid-organ transplant recipients, with the median time to disease onset being 21 months. Renal transplant recipients account for the majority of cases. Read More
BMJ Case Rep 2018 Jun 27;2018. Epub 2018 Jun 27.
Plastic Surgery and Burns, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
A 69-year-old man was admitted with non-resolving right leg cellulitis. Subsequent skin changes over the calf and discharging pus suggested necrotising fasciitis. After several wound debridements of the leg and imaging, the patient was found to have an iliopsoas abscess due to a metastatic perforated caecal tumour extending along the medial thigh to the calf. Read More
Urol Int 2018 27;101(1):91-97. Epub 2018 Jun 27.
Background: Fornier gangrene is an extremely rare disease of the genitals. This disease is a result of the urogenital tract, anorectal area, and genital skin infections, appearing usually in immunocompromised patients with diabetes, obesity, and malignant neoplasms. The basic treatment of Fournier gangrene includes an emergency surgical intervention combined with antibiotic therapy and detoxification. Read More
J Med Case Rep 2018 Jun 27;12(1):193. Epub 2018 Jun 27.
Department of Urological Surgery, Chang Gung Memorial Hospital, 123 Avenue Xiafei, Xiamen, 361028, Fujian, China.
Background: Fournier's gangrene is an acute surgical emergency characterized by high mortality rates ranging from approximately 13% to 45%. Therefore, aggressive multidisciplinary management is necessary.
Case Presentation: A 29-year-old Asian man who had undergone surgical debridement at another hospital to treat a perianal abscess 5 days earlier was admitted to our hospital for severe scrotal and perianal pain, swelling, and high fever. Read More
Ann Plast Surg 2018 Jun 26. Epub 2018 Jun 26.
Division of Plastic and Reconstructive Surgery, Department of Surgery, Harlem Hospital, Columbia University, New York, NY.
Purpose: An increase in bariatric surgery has led to a rise in postbariatric contouring procedures. Despite a comprehensive preoperative assessment, body habitus in these patients may significantly limit the abdominal exam. Abdominal contouring procedures typically elevate large portions of the skin and fat off the abdominal wall, and unexpected hernia may be discovered intraoperatively. Read More
IDCases 2018 12;12:140-141. Epub 2018 May 12.
Division of Infectious Diseases, Department of Medicine, Huntsville Hospital, Huntsville 35801, AL, USA.
IDCases 2018 9;12:56-57. Epub 2018 Mar 9.
is a gram-negative rod that can cause skin and soft tissue infections associated with dog bites. Although is a less well recognized zoonotic species, its potential pathogenicity merits recognition since can cause severe septicemia in humans. Read More
J Emerg Trauma Shock 2018 Apr-Jun;11(2):119-124
Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Background: Snakebites lead to at least 421,000 envenomations and result in more than 20,000 deaths per year worldwide. Few reports exist in the Mediterranean region. This study describes demographic and clinical characteristics, treatment modalities, and outcomes of snakebites in Lebanon. Read More
Arch Dis Child Educ Pract Ed 2018 Jun 22. Epub 2018 Jun 22.
The Wellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, UK.
'It is midnight and you are called to see a thirteen-year-old boy who has been brought to the paediatric emergency department with a 24-hour history of swelling and redness of his left eye. He has had a 'runny nose' for a couple of days. He is systemically well. Read More
Cureus 2018 Apr 18;10(4):e2498. Epub 2018 Apr 18.
Sona Hospital, Appasaib Patil Nagar, Sangli, Sona Hospital, Sangli.
Objective: To examine the clinical pattern of foot-related complications in type 2 diabetes patients.
Material And Methods: A cross-sectional study was conducted among indoor, adult type 2 diabetes patients with risk factors for diabetic foot complications. The diabetic neuropathy symptom score (DNSS), Doppler scanning, ankle brachial pressure index (ABPI) assessment, neuropathy assessment, neuropathic disability score (NDS), biothesiometry evaluation, and bacteriological examination was performed. Read More
BMJ Open 2018 Jun 19;8(6):e020857. Epub 2018 Jun 19.
Department of Health Policy, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Objectives: Hospitalisations for serious infections are common among middle age and older adults and frequently used as study outcomes. Yet, few studies have evaluated the performance of diagnosis codes to identify serious infections in this population. We sought to determine the positive predictive value (PPV) of diagnosis codes for identifying hospitalisations due to serious infections among middle age and older adults. Read More
J Eur Acad Dermatol Venereol 2018 Jun 19. Epub 2018 Jun 19.
Department of Adult and Pediatric Dermatology, Bordeaux University Hospitals, France.
Background: Contact dermatitis from topical antiseptic use has been reported mostly in adults but rare cases of chlorhexidine contact dermatitis have also been described in young children.
Objective: To evaluate contact allergic dermatitis to antiseptics in young children.
Methods: The children mostly referred for a misdiagnose (cellulitis) were patch tested with a selection of the European baseline series, an antiseptics series and the personal topical products used. Read More
Acta Paediatr 2018 Jun 19. Epub 2018 Jun 19.
Department of Pediatrics B, Schneider Children's Medical Center of Israel, Petach, Tikva.
Emerg Med J 2018 Aug 18;35(8):492-498. Epub 2018 Jun 18.
Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Objective: The purpose of our study was to determine if cephalexin 500 mg orally four times daily was non-inferior to cefazolin 2 g intravenously daily plus probenecid 1 g orally daily in the management of patients with uncomplicated mild-moderate skin and soft tissue infection (SSTI) presenting to the ED.
Methods: This was a prospective, multicentre, double dummy-blind, randomised controlled non-inferiority trial conducted at two tertiary care teaching hospitals in Canada. Patients were enrolled if they presented to the ED with an uncomplicated SSTI, and randomly assigned in a 1:1 fashion to oral cephalexin or intravenous cefazolin plus oral probenecid for up to 7 days. Read More
J Vasc Surg 2018 Jun 15. Epub 2018 Jun 15.
Division of Cardiovascular Medicine, Stanford University School of Medicine, Falk Cardiovascular Research Center, Stanford, Calif. Electronic address:
Objective: Phlebolymphedema (chronic venous insufficiency-related lymphedema) is a common and costly condition. Nevertheless, there is a dearth of evidence comparing phlebolymphedema therapeutic interventions. This study sought to examine the medical resource utilization and phlebolymphedema-related cost associated with Flexitouch (FLX; Tactile Medical, Minneapolis, Minn) advanced pneumatic compression devices (APCDs) relative to conservative therapy (CONS) alone, simple pneumatic compression devices (SPCDs), and other APCDs in a representative U. Read More
Diabetes Metab Syndr Obes 2018 1;11:255-264. Epub 2018 Jun 1.
Division of Vascular Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Diabetes is associated with various complications and reduced quality of life. Of the many complications, some are life-threatening. Among these, foot complications remain an important concern. Read More
P R Health Sci J 2018 Jun;37(2):105-109
Department of Dermatology, University of Puerto Rico Medical Sciences Campus, San Juan, PR.
Objective: To characterize and analyze the inpatient and emergency pediatric dermatology consults in our academic hospital center.
Methods: We reviewed 485 consultations that were done by the University of Puerto Rico Department of Dermatology from July 2007 to June 2012. The date, patient age and gender, consulting service, presumptive diagnosis, final diagnosis, and diagnostic procedures performed were documented for each consult. Read More
J Allergy Clin Immunol Pract 2018 Jun 11. Epub 2018 Jun 11.
Professor of Dermatology and Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Eosinophils are bone marrow-derived cells that infiltrate skin and mucous membrane in a broad spectrum of primary and reactive inflammatory diseases and malignancies. The eosinophil has potent proinflammatory activities, particularly, through the effects of its toxic granule proteins. In addition, eosinophils have prothrombotic and profibrotic activities. Read More
Cureus 2018 Apr 12;10(4):e2466. Epub 2018 Apr 12.
Department of Dermatology, Brigham & Women's Hospital, Harvard Medical School, Boston, USA.
Cellulitis is a common skin and soft tissue infection with substantial misdiagnosis rates due to its nonspecific clinical characteristics. In this report, we present a patient with recurrent metastatic diffuse large B-cell lymphoma (DLBCL) masquerading as a unilateral lower extremity cellulitis. A 62-year-old man with a history of DLBCL, in remission for two years, presented with a two-week history of swelling and erythema of the right thigh and leg. Read More
SAGE Open Med Case Rep 2018 31;6:2050313X18778726. Epub 2018 May 31.
Department of ENT-Head and Neck Surgery, KRL Hospital, Islamabad, Pakistan.
Nasal septal abscess is a rather unusual condition encountered in the Otorhinolaryngology outpatient department, let alone it being a complication of orbital cellulitis! The condition usually occurs due to trauma which is significant enough to cause a septal haematoma. The haematoma then eventually results in formation of a localised abscess. Orbital cellulitis as a sequela of nasal septal abscess is an established complication but vice versa, septal abscess as a sequela of orbital cellulitis is an extremely rare presentation. Read More
J Dermatol 2018 Jun 13. Epub 2018 Jun 13.
Department of Dermatology, Rambam Health Care Campus, Technion, Haifa, Israel.
Staphylococcus lugdunensis is an emerging pathogen in skin and soft tissue infections that was previously considered a commensal. The aim of this study was to elucidate the characteristics of skin infections by S. lugdunensis and its appropriate management, in a tertiary referral medical center. Read More
JAAD Case Rep 2018 Jul 6;4(6):548-550. Epub 2018 Jun 6.
Department of Dermatology, Division of Immunology, Allergy and Infectious Diseases, Medical University of Vienna, Vienna, Austria.
J Korean Med Sci 2018 Jun 9;33(24):e164. Epub 2018 May 9.
Department of Emergency Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Background: We investigated the clinical progress and bacteriological characteristics of infectious adverse events (AEs) following acupuncture and compared patient characteristics between serious and non-serious outcome groups.
Methods: A retrospective observational study was conducted in 1,174 patients with infectious complications associated with acupuncture at the emergency department (ED) in a tertiary hospital in Korea between 2010 and 2014. Serious outcome was defined as development of septic shock, admission to intensive care unit (ICU) or attaining permanent morbidity. Read More