461 results match your criteria cellulitis suspected


Severe Chemosis: Initial Misdiagnosis of an Emergent Complication of Acute Rhinosinusitis.

J Emerg Med 2021 Jul 10. Epub 2021 Jul 10.

Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea.

Background: Orbital findings such as cellulitis, ophthalmoplegia, and proptosis are possible complications of sinusitis. Acute sinusitis can also cause a conjunctival cyst-like lesion induced by severe chemosis; however, it is an uncommon complication.

Case Report: We report the case of a 53-year-old man who presented to our facility's emergency department. Read More

View Article and Full-Text PDF

The Red Legs RATED tool to improve diagnosis of lower limb cellulitis in the emergency department.

Br J Nurs 2021 Jun;30(12):S22-S29

Research Fellow, Trinity Centre for Practice and Healthcare Innovation, School of Nursing and Midwifery, Trinity College Dublin.

Background: Lower limb cellulitis poses a significant burden for the Irish healthcare system. Accurate diagnosis is difficult, with a lack of validated evidence-based tools and treatment guidelines, and difficulties distinguishing cellulitis from its imitators. It has been suggested that around 30% of suspected lower limb cellulitis is misdiagnosed. Read More

View Article and Full-Text PDF

Invasive pneumococcal disease: a diagnostic challenge due to multiple portals of causative bacteria.

BMJ Case Rep 2021 May 19;14(5). Epub 2021 May 19.

Department of General Medicine, Saga University Hospital, Saga, Japan.

A 64-year-old woman was transferred to our hospital because of fever, painful swelling in upper jaw, back pain and dysuria. She was in shock and physical examinations revealed tenderness on maxillary sinus, cellulitis in the right foot, hypoesthesia in both lower extremities and groin, mild weakness in both lower extremities, and bladder and rectal dysfunctions. Blood examination showed elevated white cell count and C reactive protein, and urinalysis revealed urinary tract infection. Read More

View Article and Full-Text PDF

Diagnosis of skin and soft tissue infections using near-infrared spectroscopy.

Acute Med Surg 2021 Jan-Dec;8(1):e642. Epub 2021 May 3.

Department of Emergency and Critical Care Medicine Kitasato University School of Medicine Sagamihara Japan.

Aim: Skin and soft tissue infections are classified into cellulitis and necrotizing fasciitis, which are difficult to distinguish. Necrotizing fasciitis has a poor prognosis and requires immediate intensive care. The diagnostic gold standard is to incise the lesion to determine whether necrosis has reached the fascia. Read More

View Article and Full-Text PDF

Improving the management of suspected tonsillitis and peritonsillar abscess referred to ENT - a coronavirus disease 2019 service improvement.

J Laryngol Otol 2021 Jul 29;135(7):584-588. Epub 2021 Apr 29.

Department of Otolaryngology, Imperial College Healthcare NHS Trust, London, UK.

Background: The impact of coronavirus disease 2019 on healthcare has led to rapid changes in otolaryngology service provisions. As such, new standard operating procedures for the management of suspected tonsillitis or quinsy were implemented in our centre.

Methods: A retrospective audit was performed of acute referrals to ENT of patients with suspected tonsillitis, peritonsillar cellulitis or quinsy, during the 10 weeks before (group 1) and 10 weeks after (group 2) implementation of the new standard operating procedures. Read More

View Article and Full-Text PDF

A Case of Traumatic Intractable Leg Ulcer with Lymphorrhea Diagnosed Using ICG Lymphography.

Plast Reconstr Surg Glob Open 2021 Mar 23;9(3):e3489. Epub 2021 Mar 23.

Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan.

We report a case of traumatic lower extremity ulcers with lymphorrhea in a 37-year-old woman. She presented intractable ulcers without lymphedema for nearly 6 months after a traumatic injury. She was treated conservatively for 6 months at a referral hospital. Read More

View Article and Full-Text PDF

Herpes simplex keratoconjunctivitis in the immediate postoperative period after strabismus surgery.

Strabismus 2021 Apr 26:1-4. Epub 2021 Apr 26.

Ophthalmology Department, Alder Hey Children's Hospital, Alder Hey Children's NHS Foundation Trust, Liverpool.

The authors describe the case of bilateral herpes simplex keratoconjunctivitis (HSK) following uncomplicated 7 mm bilateral lateral rectus recessions in a 3-year-old child. The recovery was initially unremarkable, and the standard postoperative drops of dexamethasone and chloramphenicol (non-preservative free) were prescribed. The child presented 8 days postoperatively with fever, right upper lid swelling and ptosis. Read More

View Article and Full-Text PDF

Misdiagnosis of Pyoderma Gangrenosum Increases Medical Costs and Prolongs Hospital Stay: A Case Report.

Int J Low Extrem Wounds 2021 Apr 23:15347346211011870. Epub 2021 Apr 23.

College of Medicine, 65676Yeungnam University, Daegu, Republic of Korea.

Pyoderma gangrenosum (PG) is a rare, immunological ulcerative, and necrotic inflammatory skin disease that can be easily misdiagnosed as cellulitis, abscess, diabetic foot ulcer, and other infectious diseases. Misdiagnosing PG leads to unnecessary surgical incision and debridement, which further exacerbates the lesion, ultimately leading to longer treatment periods and higher medical costs. Therefore, early and accurate diagnosis of PG is extremely important for its treatment. Read More

View Article and Full-Text PDF

Hospital-acquired Skin and Skin-structure Infection in COVID-19 Infected Patient with Prolonged Hospitalization.

Acta Med Indones 2021 Jan;53(1):105-107

Division of Tropical and Infectious Disease, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Acute bacterial skin and skin-structure infections (ABSSSI) is defined in 2013 by the US Food and Drug Administration as a bacterial cellulitis/erysipelas, major skin abscesses, and wound infections. The Infectious Diseases Society of America (IDSA) in 2014 classifies skin and soft-tissue infection (SSTI) as either non-purulent (which includes cellulitis, erysipelas, and necrotizing infection) or purulent (including furuncle, carbuncle, and abscess). Among hospitalized patients with SSTI, healthcare-associated infections account for 73. Read More

View Article and Full-Text PDF
January 2021

Orbital abscess due to infection of a non-absorbable porous orbital implant after orbital wall fracture repair : An uncommon and delayed occurred case.

Eur J Ophthalmol 2021 Apr 5:11206721211008035. Epub 2021 Apr 5.

Department of Ophthalmology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.

We report a rare case of a patient who developed an orbital abscess several years after successful orbital medial wall fracture repair. A 37-year-old female patient who underwent orbital fracture repair with a titanium Medpor orbital implant two years prior visited the clinic for pain, conjunctival injection, discharge, and lid swelling of the right eye. Orbital CT revealed severe orbital cellulitis and sinusitis. Read More

View Article and Full-Text PDF

Handheld infrared thermometer to evaluate cellulitis: the HI-TEC study.

Clin Microbiol Infect 2021 Apr 2. Epub 2021 Apr 2.

Department of Medicine, McGill University, Montréal, QC, Canada; Clinical Practice Assessment Unit, McGill University Health Center, Montréal QC, Canada; Division of Infectious Diseases, Department of Medicine, McGill University Health Center, Montréal, QC, Canada. Electronic address:

Objectives: Differentiating cellulitis from pseudocellulitis is challenging, and misdiagnosis leads to unnecessary antimicrobial use and increased healthcare expenditure. Clinical diagnosis remains the criterion standard and may involve expert consultation. Our objective was to evaluate the usefulness of a handheld infrared thermometer to improve diagnostic certainty in cases of suspected cellulitis. Read More

View Article and Full-Text PDF

Acquired perforating dermatosis with associated complicated cellulitis and amputation in a hemodialysis patient.

Clin Nephrol Case Stud 2021 11;9:33-38. Epub 2021 Mar 11.

Division of Nephrology, Centro Hospitalar e Universitário do Algarve.

Introduction: Cutaneous manifestations related to chronic kidney disease (CKD) are common and associated with high morbidity. Acquired perforating dermatosis (APD) occurs mostly in diabetic or CKD patients, namely those undergoing hemodialysis.

Case Report: A 58-year-old male with type 2 diabetes, with long-term insulin use, several microvascular and macrovascular complications, and on maintenance hemodialysis for 5 years presented with a 1-week history of painful, pruritic, umbilicated papules and some punctiform necrotic lesions on his left forearm, both hands, and both amputation stumps. Read More

View Article and Full-Text PDF

Bilateral periorbital leukemia cutis presenting as suspected cellulitis.

Orbit 2021 Mar 7:1-3. Epub 2021 Mar 7.

Department of Ophthalmology and Visual Sciences, Case Western Reserve University, Cleveland, Ohio, USA.

Many conditions present with periorbital edema and erythema, mimicking preseptal cellulitis. We report the unique case of a patient with relapsed monoblastic mutant isocitrate dehydrogenase-2 (IDH2) acute myeloid leukemia (AML) who presented with periorbital edema and erythema, unresponsive to antibiotics. Histopathology from punch biopsy was consistent with leukemia cutis. Read More

View Article and Full-Text PDF

A case report of tigecycline induced acute pancreatitis in a renal transplant patient and review of the literature: Should we avoid tigecycline in patients on calcineurin inhibitors?

Transpl Infect Dis 2021 Mar 2:e13593. Epub 2021 Mar 2.

Division of Nephrology, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Tigecycline has been approved by the US (United States) Food and Drug Administration in a variety of complicated infections due to its broad-spectrum antibiotic activity. Following phase III trials, the product label was revised and acute pancreatitis was listed as an adverse effect. Its safety profile in special groups such as renal transplant patients is not exactly known. Read More

View Article and Full-Text PDF

Tunnelled peritoneal drainage catheter placement for the palliative management of refractory ascites in patients with liver cirrhosis.

Frontline Gastroenterol 2021 28;12(2):108-112. Epub 2020 Feb 28.

Liver Unit, Queen Elizabeth Hospital Birmingham, Birmingham, UK.

Objective: Refractory ascites is an established indication for liver transplantation. While transplantation is regarded as the definitive therapy for this condition, many patients are unsuitable due to comorbidity or frailty. Alternatives such as transjugular intrahepatic portosystemic shunt (TIPSS) and large-volume paracentesis can lead to complications, including encephalopathy, circulatory and renal dysfunction, and protein-calorie deficiency that may accelerate sarcopenia. Read More

View Article and Full-Text PDF
February 2020

A Case of Subacute Necrotizing Fasciitis due to .

J Clin Aesthet Dermatol 2021 Jan 1;14(1):55-58. Epub 2021 Jan 1.

Dr. Roberts is with Merit Health Wesley in Hattiesburg, Mississippi.

Necrotizing fasciitis (NF) is a progressive inflammatory infection of the fascia that is often aggressive and advances insidiously. NF can be preceded by traumatic injury or surgical intervention or may occur spontaneously. Here, we describe a patient who presented with monomicrobial subacute necrotizing fasciitis due to . Read More

View Article and Full-Text PDF
January 2021

Cervical Necrotizing Fasciitis, Diagnosis and Treatment of a Rare Life-Threatening Infection.

Ear Nose Throat J 2021 Feb 11:145561321991341. Epub 2021 Feb 11.

Department of Otolaryngology, Tulane University Medical School, New Orleans, LA, USA.

Importance: Necrotizing fasciitis is a relatively uncommon and potentially life-threatening soft tissue infection, with morbidity and mortality approaching 25% to 35%, even with optimal treatment. The challenge of diagnosis for necrotizing soft tissue infections (NSTIs) is their rarity, with the incidence of approximately 1000 cases annually in the United States. Given the rapid progression of disease and its similar presentation to more benign processes, early and definitive diagnosis is imperative. Read More

View Article and Full-Text PDF
February 2021

Allergic fungal rhinosinusitis presenting with intracranial spread along large sphenoidal emissary foramen.

Med Mycol Case Rep 2021 Jun 11;32:10-13. Epub 2021 Jan 11.

University of Florida College of Medicine - Jacksonville, Jacksonville, FL, USA.

A 13-year-old girl was admitted for headache, right periorbital swelling and erythema. CT imaging demonstrated right orbital preseptal cellulitis, severe pansinusitis and suspected epidural abscess. Brain MRI and sinus CT confirmed an epidural abscess in the right middle cranial fossa and a second extra-cranial abscess in the right infratemporal fossa along with large right sphenoidal emissary foramen. Read More

View Article and Full-Text PDF

Combined Techniques of Non-invasive Tc-Besilesomab/Tc-Sulfur Colloid with Hybrid SPECT/CT Imaging in Characterising Cellulitis from Symptomatic Perimegaprosthetic Infection: A Case Report.

Malays Orthop J 2020 Nov;14(3):188-193

Department of Nuclear Medicine, Radiotherapy and Oncology, Universiti Sains Malaysia, Kubang Kerian, Malaysia.

Megaprosthesis is used to restore the form and function of massive skeletal defects, but it is accompanied by risks of failure, mainly due to perimegaprosthetic infection (PMI). In practice, the diagnosis of infected megaprosthesis among patients with a high index of clinical suspicion, elevated serological markers, and multiple negative or inconclusive imaging can be very challenging and poses a diagnostic conundrum to many orthopaedic surgeons. We present the case of a symptomatic 26-year-old female with large B-cell lymphoma who developed cellulitis with suspected complication of PMI 15 months post-implantation. Read More

View Article and Full-Text PDF
November 2020

Two Cases of Wells Syndrome with Marked Swelling in the Hands.

Indian Dermatol Online J 2020 Nov-Dec;11(6):979-982. Epub 2020 Nov 8.

Department of Dermatology, Fukushima Medical University, Fukushima, Japan.

Wells syndrome or eosinophilic cellulitis is an idiopathic inflammatory dermatitis characterized by a benign but recurrent evolution. It often causes edematous urticarial plaques on the extremities. Herein, we report two rare cases of Wells syndrome with marked swelling in the hands. Read More

View Article and Full-Text PDF
November 2020

Point of Care Ultrasound Use by Associate Providers for Differentiating Abscess Versus Cellulitis Skin and Soft Tissue Infection in the Emergency Department.

J Emerg Med 2021 Jan 22;60(1):e1-e7. Epub 2020 Oct 22.

Dartmouth-Hitchcock Medical Center Emergency Department, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.

Background: Skin and soft tissue infections (SSTIs) are a common complaint in the ambulatory setting and pose a significant burden on the health care system.

Objectives: We sought to determine the accuracy of ultrasound for detecting soft tissue abscesses by emergency medicine associate providers (APs).

Methods: This was a prospective observational study of adult patients with suspected SSTI in the emergency department of a rural tertiary care academic medical center. Read More

View Article and Full-Text PDF
January 2021

Retained Foreign Body Which Should be Suspected as a Cause of Retractable Chronic Hand Inflammation and Diagnostic Capacity of Ultrasonography.

J Hand Surg Asian Pac Vol 2020 Dec;25(4):423-426

Daegu Park's Hospital, Daegu, Korea.

Foreign bodies in the hand are common but easily and often missed in the initial evaluation of injury. Diagnosing retained foreign bodies is difficult due to radiolucent foreign bodies. Purpose of this study is to emphasize the need of consideration of foreign bodies in patients with chronic synovitis in hand. Read More

View Article and Full-Text PDF
December 2020

Phlegmonous Psoas Muscle Infection Causing Sepsis and Death With Missing Postmortem Computed Tomography Scan Correlation.

Am J Forensic Med Pathol 2021 Jun;42(2):170-173

Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Abstract: Infection of the psoas muscle is a rare pathology, which carries a high risk of sepsis and is a potential cause of death. Classic symptoms include back pain and fever and it may be diagnosed premortem on computed tomography or magnetic resonance imaging, where abscess formation may be identified as a discrete rim enhancing and low-attenuation lesion. Infections without abscess formation, such as phlegmonous infection, may be more difficult to identify however, particularly if there is absence of other nonspecific findings, such as gas bubbles. Read More

View Article and Full-Text PDF

An interview study to determine the experiences of cellulitis diagnosis amongst health care professionals in the UK.

BMJ Open 2020 10 14;10(10):e034692. Epub 2020 Oct 14.

Centre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK.

Objectives: To explore healthcare professionals (HCPs) experiences and challenges in diagnosing suspected lower limb cellulitis.

Setting: UK nationwide.

Participants: 20 qualified HCPs, who had a minimum of 2 years clinical experience as an HCP in the national health service and had managed a clinical case of suspected cellulitis of the lower limb in the UK. Read More

View Article and Full-Text PDF
October 2020

Feasibility of rapid magnetic resonance imaging (rMRI) for the emergency evaluation of suspected pediatric orbital cellulitis.

J AAPOS 2020 10 10;24(5):289.e1-289.e4. Epub 2020 Oct 10.

Department of Radiology, Children's Hospital & Medical Center, Omaha, Nebraska.

Purpose: To determine the feasibility of noncontrast rapid magnetic resonance imaging (rMRI), compared with traditional contrast-enhanced computed tomography (CT) in assessing pediatric emergency department patients with suspected orbital cellulitis or orbital abscess.

Methods: All subjects <19 years of age who presented emergently with suspected orbital cellulitis from July 1, 2017, to July 31, 2019, were included. Participants received both the standard contrast orbital CT, if deemed necessary, with the addition of the noncontrast rMRI after informed consent was obtained. Read More

View Article and Full-Text PDF
October 2020

[Preseptal cellulitis to suspected odontogenic origin treated with intensive therapy].

Ugeskr Laeger 2020 08;182(36)

A 55-year-old woman was hospitalised due to sudden redness and swelling around the left eye as well as malaise. Prior to hospitalisation, the patient was treated with antibiotics because of a dental infection. The patient was admitted to the hospital for more than three weeks and received intravenous antibiotics, which was changed several times due to treatment failure. Read More

View Article and Full-Text PDF

Utility of Magnetic Resonance Imaging for Differentiating Necrotizing Fasciitis from Severe Cellulitis: A Magnetic Resonance Indicator for Necrotizing Fasciitis (MRINEC) Algorithm.

J Clin Med 2020 Sep 21;9(9). Epub 2020 Sep 21.

Division of Infectious Diseases, Department of Internal Medicine, Chung-Ang University Hospital, Seoul 06973, Korea.

We developed a new magnetic resonance indicator for necrotizing fasciitis (MRINEC) algorithm for differentiating necrotizing fasciitis (NF) from severe cellulitis (SC). All adults with suspected NF between 2010 and 2018 in a tertiary hospital in South Korea were enrolled. Sixty-one patients were diagnosed with NF and 28 with SC. Read More

View Article and Full-Text PDF
September 2020

Complex Regional Pain Syndrome Developing After a Coral Snake Bite: A Case Report.

Cureus 2020 Aug 16;12(8):e9787. Epub 2020 Aug 16.

Internal Medicine, Ocala Regional Medical Center/University of Central Florida College of Medicine, Ocala, USA.

Complex regional pain syndrome (CRPS) usually occurs after an inciting injury. Poor understanding of pathophysiology, management, and disease awareness has led to misdiagnosis of this condition. We report a rare case of a 69-year-old male who developed CRPS following a Florida Coral snake bite on his right foot. Read More

View Article and Full-Text PDF

A Case Report of Oculoglandular Tularemia-Chasing Zebras Among Potential Diagnoses.

J Oral Maxillofac Surg 2021 Mar 25;79(3):629-636. Epub 2020 Aug 25.

Head of Department, Department of Oral, Craniomaxillofacial and Facial Plastic Surgery, Leipzig University Hospital, Leipzig, Germany.

A 60-year-old man was admitted to a university hospital complaining of progressive orbital cellulitis and lymph-node swelling. Empiric treatment with sulbactam/ampicillin failed. The patient's cervical lymph nodes were removed and histologically examined. Read More

View Article and Full-Text PDF

Helicobacter cinaedi-Associated Refractory Cellulitis in Patients with X-Linked Agammaglobulinemia.

J Clin Immunol 2020 11 10;40(8):1132-1137. Epub 2020 Sep 10.

Department of Child Health and Development, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.

X-linked agammaglobulinemia (XLA) is characterized by severe or recurrent infections, hypogammaglobulinemia, and circulating B cell deficiency. The frequent pathogens seen in patients with XLA include Streptococcus pneumoniae, Haemophilus influenzae, Pseudomonas aeruginosa, and enterovirus as well as Campylobacter and Helicobacter species. Here, we describe two patients with XLA who developed cellulitis and bacteremia caused by Helicobacter cinaedi even when administered an appropriate immunoglobulin replacement therapy. Read More

View Article and Full-Text PDF
November 2020