Cellulitis And Erysples

2,203 views 14 slides Oct 23, 2009
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Cellulitis erysiples بسم اللة الرحمن الرحيم Omdurman Islamic university

Cellulitis is an acute or subcute or chronic subconnective tissue inflammation Erysyplis is a bacrerial infection of dermis and subcutineous Common in children less than 3 year def

S aureus H iflunza type b Gas Less common Group b strep Pneumococci Proteus mirbalis P arginovsa Predispoising factors Manutrition and anemia Alcholism d.M Chronic depletory disease Eitiology

aFter the entry of the pathogenes the inflamation spread in the tissue by Hyaluronidase break the poly sacraid Fibrinolysis agians fibrin Lecithinases destroy cell membrane So the nubmer of infective organism usually small and that suggesting that cellulitis mybe more to the reaction of cytokinas than overwhelming growth Pathogensis

Erysples Cellulitis Sever systamic symptom ( high fever malaise ) May be present Erythrematous Welldefined edge Bulla also common Erythrematous Ill define border Clinical picture Localization face lower extremities gentalia extermties

Septicemia Endocarditis Nephritis Subcutneous abases Lymphedma complication

Erysipelas

erysiplas

C ellulitis

C ellulitis

Investigation Smear Gram stain culture Wbc Imaging MRI , U/S or CT diagnosis

Stasis eczema Gaint utricaria Insect bite Fixed drug eruption Differential diagnosis

Explaining the condition to the patient Subacetate compressor Local anti biotic Penicillin Erythromycin Cephalosporin For reccurent cases long term penicillin Management

C asee study
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