Cellulitis

Clinic

• It is usually a bacterial infection involving the inner layers of the skin.
• It specifically affects the dermis and subcutaneous fat.

Signs / Symptoms

• Redness
• Swelling / Increases in size
• The area of redness are generally not sharp
• Redness often turns white when pressure is applied
• Painful
• Lymphatic vessels are involved
• Fever and feeling tired.

Causes

• Streptococci
• Staphylococcus aureus
• Ludwig's angina (Cellulitis of the submandibular space): Mixed infections, due to both aerobes and anaerobes, typically includes alpha-hemolytic streptococci, staphylococci, and bacteroides' groups.

Cellulitis vs Erysipelas

• In contrast to cellulitis, erysipelas is a bacterial infection involving the more superficial layers of the skin,
• Erysipelas present with an area of redness with well-defined edges,
• Erysipelas is often associated with a fever.

Complications

• Abscess formation
• Fasciitis
• Sepsis

Remedies

Pediatrics - scarlet fever - plan of action - remedies: apis_k ars._k Bell._k lach._k phos._k rhus-t._k sulph._k

Apis

• When the body's reaction is very fast.
• When the skin and mucous membranes are involved.
• When the swelling is non-exudative and in the form of dilute fluid accumulation.
• When the affected tissue is very hot and red.
• When the affected person is highly sensitive to heat.

Led

• Led is also intense and fast (Apis)
• Opposite to Apis, the Swelling is exudative, so it is associated with induration and stiffness of the affected tissue.
• Lymphangitis: simultaneous involvement of lymphatic vessels
• The involvement is not limited to the skin and joints are also involved. (Rhus-t)
• Paradox of cold: Led is very similar to Rhus-t except that the affected tissue is cold and feels better with cold compress.

Rhus-t

• When the speed of reaction is slightly slower than Apis.
• The involvement is not specific to the skin and joints and fibrous tissues such as tendons are also involved.
• When a person has a specific feeling of internal shivering.
• When the skin involvement is similar to contact dermatitis and is accompanied by burning, itching and vesicular rashes.
• Agg by cold and humidity and better by heat and movement.
• Lymphangitis
• Exudative swelling: This means that swelling is associated with induration and stiffness of the affected tissue.