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A Clinical Study of 50 Patients of Cellulitis Treated in our Hospital

Anuradha Dnyanmote, Associate Professor, Department of General Surgery, DR. D.Y. Patil Medical College, Pimpri, Pune, Maharastra, 411018, India. , Reina Khadilkara , Anuradha Dnyanmotea , Siddharth Khadilkarb , Shahaji Chavanc

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New Indian Journal of Surgery 8(4):p 543-545, Oct-Dec 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8417.15

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Abstract

Cellulitis is an inflammation of skin and subcutaneous tissue following a trivial trauma to the skin. Lower limb cellulitis is the commonest site for this inflammation. Cellulitis can occur anywhere on the body, but is most commonly encountered on the lower legs, especially near the shins and ankles. Under normal circumstances, the skin provides an effective barrier against invasion by micro-organisms that live on the skin or that are present in the environment. Methods: In our study, we studied 50 patients of cellulitis admitted to our hospital. Patients of cellulitis were diagnosed and given the standard treatment protocol. admission to hospital, All routine investigations, USG of the affected limb, Abdomen where necessary. Conservative management. In one case, patient had to be shifted to ICU and surgical intervention. Results: In this study of 50 patients, 35 were male and 15 were female patients. Out of these 50 patients 47 patients presented with lower limb cellulitis, 2 patients with upper limb cellulitis and 1 patient with abdominal wall celllulitis. Out of 50 patients 45 patients had co-existing Diabetes mellitus, 17 patients were grossly anaemic and 16 patients were found to have hypoproteinemia. 48 patients were treated conservatively, 2 required surgical debridement. 1 patients developed necrotizing fasciitis and needed ICU management. No fatalities were recorded. Conclusion:Cellulitis is more common in lower limbs. In the lower socio-economic strata, anaemia and hypoproteinemia add to the development of cellulitis. Diabetes is a major comorbid condition that predisposes to cellulitis after trivial trauma. Conservative management helps if

 

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8417.15

Keywords

Cellulitis; Debridement; Magsulf dressings; IV antibiotics; Diabetes; Emergency care. 

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