What is bullous cellulitis?
What is bullous cellulitis?
Bullous cellulitis is a distinctive form of cellulitis most often caused by beta hemolytic streptococci. This report describes a case of bullous cellulitis caused by Serratia marcescens in an elderly diabetic woman with peripheral vascular disease. A discussion of this ubiquitous, nosocomial pathogen follows.
How do you describe cellulitis lesions?
The term cellulitis is commonly used to indicate a nonnecrotizing inflammation of the skin and subcutaneous tissues, a process usually related to acute infection that does not involve the fascia or muscles. Cellulitis is characterized by localized pain, swelling, tenderness, erythema, and warmth.
Can cellulitis cause tachycardia?
Symptoms of cellulitis vary depending on the severity, which can range from mild to a more severe form with systemic involvement in the form of tachycardia, hypotension, and general malaise with a marked inflammatory response (Morton and Swartz, 2004).
What are bullous lesions?
Bullae are elevated, fluid-filled blisters ≥ 10 mm in diameter. The autoimmune bullous diseases include. Bullous pemphigoid. Mucous membrane involvement is rare. Diagnosis is by skin biopsy…
How do you treat Bullae blisters?
Bullous pemphigoid is most commonly treated with corticosteroids. These can be taken by mouth in addition to topically applied creams. Antibiotics or other anti-inflammatory medications may also be useful in mild cases. Severe cases may require the use of immunosuppressant medications.
What does a cellulitis blister look like?
In general, cellulitis appears as a red, swollen, and painful area of skin that is warm and tender to the touch. The skin may look pitted, like the peel of an orange, or blisters may appear on the affected skin. Some people may also develop fever and chills.
What kind of cellulitis is bullous erysipelas?
We diagnosed bullous erysipelas, which is a clinical diagnosis that indicates superficial cellulitis with lymphatic involvement; it is typically caused by group A β-hemolytic streptococci. It typically appears on the legs and face as sharply demarcated, tender erythema and edema, with an indurated border.
What should you know about bullous hemorrhagic cellulitis?
– Clinically, nec fasc is characterized by rapid progression, severe systemic toxicity, pain out of proportion to exam, +/- gangrene and crepitus. Presence of bullae and blisters should make you extremely worried about nec fasc. –> Score of 6 or more has high positive predictive value (92%) — should strongly consider surgical exploration!!
Where are the flame figures found in bullous cellulitis?
The histopathologic findings are quite specific and are characterized by flame figures, which are composed of eosinophil major basic protein deposited on collagen bundles. With resolution, there is a granulomatous phase of histiocytes palisading around the flame figures.
What was the treatment for cellulitis at the time?
His diagnosis at that time was cellulitis, which was treated with a course of intravenous cefazolin and oral probenecid. By 4 days afterward his systemic symptoms had resolved, but he was referred to us for assessment of severe blistering that had erupted within the erythema.
