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Cellulitis can occur at the site of surgery, or where there is a catheter. People who frequently injure their skin: Research shows that the following people, who tend to have more skin injuries, often have a higher risk of getting cellulitis: Drug abusers who use needles to inject drugs. An Internet Brands company. Skin sore or rash that starts suddenly, and grows quickly in the first 24 hours. Aeromonas hydrophilia, Vibrio vulnificus, and other bacteria are causes of cellulitis that develop after exposure to freshwater or seawater. All rights reserved. Dermatologists team up to improve patient care, JAK inhibitors: A newer type of medication, Free materials to help raise skin cancer awareness, Dermatologist-approved lesson plans, activities you can use. But some cases of cellulitis of the leg or other parts of the body can be severe and lead to systemic infection. The condition will not go away on its own, but early treatment can prevent serious complications. If not properly treated, cellulitis can occasionally spread to the bloodstream and cause a serious bacterial infection of the bloodstream that spreads throughout the body (sepsis). DR P. MARAZZI / SCIENCE PHOTO LIBRARY / Getty Images. Cellulitis can be successfully treated with antibiotics. Lymphoedema treatment (decongestive lymphatic therapy DLT) is thought to reduce the frequency of attacks. Oral antibiotics may include dicloxacillin or cephalexin. Ask if your condition can be treated in other ways. Be careful to clean and cover any wounds and cuts and wear protective gloves when needed. The infection may go deep into tissue and cause serious problems. Treating athletes foot early can prevent this. Staphylococcus and Streptococcus are the types of bacteria that are usually responsible for cellulitis. Bacterial Diseases. What Are Symptoms of Cellulitis of the Leg? Several factors increase the risk of cellulitis: Untreated cellulitis might lead to bacteremia, endocarditis, osteomyelitis, toxic shock syndrome or sepsis. Lymphoedema Support Network (LSN) is a national UK charity which provides information and support to people with lymphoedema. If you have bilateral red legs, it is likely to be associated with venous hypertension / insufficiency, swollen legs, and / or haemosiderin). The infection happens when a break in the skin allows bacteria to enter. Cellulitis is an infection of the skin and soft tissues typically caused by staphylococci (staph) or streptococci (strep) bacteria. However, it can occur in any part of your body. Keeping wounds clean and covered can reduce the risk of getting cellulitis. Norazirah MN, et al. Cellulitis is an infection in the skin caused by bacteria in which the skin becomes red and swollen. Information and support for leg and foot problems, British Lymphology Society Guidelines on the Management of Cellulitisin Lymphoedema, Find out more on the British Lymphology Society website, Find out more on the Lymphoedema Support Network website, Feeling generally unwell and fluey is a common symptom, sometimes starting a few days before other symptoms, Failure to treat cellulitis promptly may lead to septicaemia, which is life-threatening. Some home treatments may help speed up the healing process. Your symptoms dont go away a few days after starting antibiotics. (2020). Centers for Disease Control and Prevention. What is cellulitis? Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Cellulitis typically only occurs in one leg. If your symptoms do not start to improve during this time, contact your doctor. Cellulitis is not contagious. The most common bacteria that cause cellulitis include: Staph and strep bacteria are commonly found on the skin and mucous membranes of the mouth and nose in healthy people. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information. Skin surface looks lumpy or pitted, like an orange skin. other information we have about you. The most common bacteria that cause cellulitis are beta-hemolytic streptococci (groups A, B, C, G, and F). People with morbid obesity can also develop cellulitis in the abdominal skin. Bacteria can get into the body through these cracks. Dermatologists care for people of all ages. See a doctor for puncture and other deep or serious wounds. Good skin care can help you prevent cellulitis. Our website services, content, and products are for informational purposes only. Use these professionally produced online infographics, posters, and videos to help others find and prevent skin cancer. This is usually done only in extreme cases since aspirations may return inconclusive results. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Merck Manual Professional Version. It can be hard to tell overnight if the cellulitis has gotten better or worse. Policy. All of these decrease the bodys ability to fight an infection. Men and women appear to be equally affected. Will My Moms Mental Illness Be Inherited By My Kids? If any of the following apply to you, you have a higher risk. It may be helpful to draw a line around the borders of an infection if it is visible in order to determine whether the cellulitis is growing or receding. Cellulitis is common, and anyone can get this infection. The level of systemic upset and any signs of septicaemia, Whether symptoms are worsening despite treatment, Open wounds including leg ulcers and weeping lymphangiectasia (leaking lymph blisters on the skin surface). Staphylococcus (staph) and streptococcus (strep) bacteria are the main causes of cellulitis, although other types of bacteria can also cause it. If you want to diminish a noticeable scar, know these 10 things before having laser treatment. A serious bacterial infection of the skin, left untreated cellulitis can spread and cause serious health problems. What are the complications of cellulitis? It isn't usually spread from person to person. However, if you have ongoing significant risk factors, continuing prophylaxis may be considered. Clean and cover draining or open wounds with clean, dry bandages until they heal. Approximately 33% of all people who have cellulitis get it again. Those who have swelling in their legs such as from venous stasis or lymphedema (e.g., after surgery for breast cancer), those with varicose veins, or those who have had vein grafts taken tend to have more cases of cellulitis, as they cannot clear bacteria as quickly, allowing the bacteria to survive, divide, and cause infections. It may need drainage and not just antibiotics. What Is the Treatment for Cellulitis of the Leg? No, cellulitis is not the same as sepsis, but cellulitis can turn into sepsis if left untreated. What types of healthcare professionals diagnose and treat cellulitis? Unlike impetigo, which is a very superficial skin infection, cellulitis is a bacterial skin infection that also involves the skin's deeper layers: the dermis and subcutaneous tissue. J Am Acad Dermatol. Following two years of successful prophylaxis, it may be discontinued, particularly if the risk factors have been successfully addressed. Conditions or diseases that reduce the circulation of blood in the veins or that reduce the circulation of the lymphatic fluid (such as venous insufficiency, obesity, pregnancy, or surgeries) also increase the risk of developing cellulitis. Your healthcare provider will consider your age, overall health and severity of the condition when determining the appropriate treatment for you. Sometimes bloodwork is ordered to rule out similar skin conditions and infections. Your doctor or nurse might refer you to the hospital to get further tests to make sure you get the correct diagnosis and treatment. Cellulitis is a common skin infection that always requires treatment. . The number of people who get cellulitis is expected to grow. The affected skin is swollen and inflamed and is typically painful and warm to the touch. But often there isnt always a visible trigger or cause of the infection. Getting treated right away can help prevent the spread of cellulitis. 2012;2012:625023. doi:10.1100/2012/625023. support@legsmatter.org. Dermatology. Streptococcus (strep) and Staphylococcus (staph) are responsible for most cases of cellulitis. In most cases, you should feel better within seven to 10 days after you start taking antibiotics. Left untreated, the infection can spread to the lymph nodes and bloodstream and rapidly become life-threatening. Untreated cellulitis can spread and quickly cause life threatening complications. Cellulitis is an infection usually caused by staphylococci ("Staph") or streptococci ("Strep") bacteria that live on the skin or inner surface of the nose or mouth of healthy people. Freshwater exposure can be associated with Aeromonas hydrophila infections. Blood or other lab tests are usually not needed. Some of these can be dangerous in those at risksuch as those who are immunosuppressed, have diabetes, lack a spleen, or have liver problems. Increase in Invasive Group A Strep Infections, 20222023. Cellulitis isnt usually contagious. In most cases, symptoms only occur on one side of the body. Cellulitis is not contagious because it is a soft tissue infection of the skin's deeper layers (the dermis and subcutaneous tissue), and the skin's top layer (the epidermis) provides a cover over the infection. Many of these bacteria live on our skin without causing a problem. Cellulitis can quickly progress and lead to more severe conditions. Cellulitis typically only occurs in one leg. Clean all minor cuts and injuries that break the skin (like blisters and scrapes) with soap and water. Finally, imaging tests, such as an ultrasound or magnetic resonance imaging (MRI), may be used to distinguish cellulitis from another diagnosis, like a deep venous thrombosis (DVT) or osteomyelitis (a bone infection). It is usually caused by staphylococci (staph) or streptococci (strep) bacteria that commonly live on the skin or inner surface of the nose or mouth of healthy people. [1] The borders of the area of redness are generally not sharp and the skin may be swollen. Cellulitis has characteristic symptoms and signs, such as: Any skin wound or ulcer that produces these symptoms or signs may be developing cellulitis. An Internet Brands company. Its signs and symptoms may include: It's important to identify and treat cellulitis early because the condition can spread rapidly throughout your body. Most cellulitis can be effectively treated with oral antibiotics at home. Cellulitis can be an urgent medical concern. If you have cellulitis on your hands or feet, it may be challenging to close your hands or walk. Cellulitis is a serious bacterial infection of the skin. Early treatment can prevent complications and stop the spread of cellulitis before it becomes life threatening. Early symptoms of cellulitis include an irritated and painful rash thats warm to the touch. It can quickly lead to the death of the tissues in these layers (subcutaneous and fascia), and in turn lead to the death of the patient, especially if treatment (surgery and antibiotics) is not rapidly available. 2009;9(7):439-447. doi:10.1016/s1473-3099(09)70110-0. If skin breaks happen, keep the area clean and use an over-the-counter antibiotic ointment. What is the best treatment for cellulitis? However, untreated cellulitis can lead to serious complications and can even be fatal. Cellulitis is a skin infection that comes on quickly and can turn serious. The infected area can be painful. In the hospital, you may get antibiotics and fluids through an intravenous (IV) catheter. The signs of cellulitis vary but things to look out for include: These symptoms can happen any time our lower legs and feet are swollen. There are a few rare causes of less common types of cellulitis. In the hospital, youll receive intravenous (IV) antibiotics. Certain types of bacteria often referred to as strep and staph normally live inside your mouth and nose, and on the surface of your skin. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Review/update the A warm compress, elevation, compression and NSAIDs also help relieve your symptoms. When you first get cellulitis, your skin looks slightly discolored. Necrotizing fasciitis is an example of a deep-layer infection. Bacteria are most likely to enter broken, dry, flaky or swollen skin, such as through a recent surgical site, cuts, puncture wounds, ulcers, athlete's foot or dermatitis. If there is swelling or the person does not have good vein or lymph flow, lift the leg or arm affected to let the fluid drain. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Diagnosis Treatment Prognosis Complications Prevention What is cellulitis? For more information download the BLS Red Legs Pathway notes (PDF). Early treatment is the best way to prevent potentially serious complications from cellulitis. Have a chronic swelling of your arms or legs (lymphedema) Use intravenous drugs; Signs and symptoms of cellulitis include: Redness, swelling and . Colostomy Prolapse (Prolapsed Stoma): What to Know, lines that run outward from the main rash area, a rash thats growing and changing rapidly, a very large rash thats inflamed and painful, numbness, tingling, or any other changes in sensation in the affected area, notice any symptoms of cellulitis and you also have diabetes, have fever along with a painful rash that continues to grow and spread, notice changes to how your skin looks or feels, feel feverish, achy, fatigued, or lightheaded, and also have a painful rash. It is more common in children. Seek medical attention immediately if the red area of the skin spreads quickly or you develop a fever or chills. Cellulitis is an acute spreading inflammation of the skin and subcutaneous tissues characterised by pain, warmth, swelling and erythema. MRSA (methicillin-resistant Staph aureus) and other bacteria can also cause cellulitis. Many cases of Staph aureus are now resistant to the antibiotics that once worked. MedicineNet does not provide medical advice, diagnosis or treatment. Vibriospecies causing vibriosis. Covering your wounds or sores with a bandage to prevent dirt or bacteria from entering the area. Pain killers such as paracetamol may be helpful along with rest and elevating your swollen leg or foot. Ive always had trouble meditating, even though its good for my mental health. information and will only use or disclose that information as set forth in our notice of It causes extreme pain and can spread very quickly. Bacteria cause cellulitis. It happens when small cuts or other skin breaks allow bacteria to enter. When bacteria get into the body through these cracks, cellulitis tends to appear in the calf. 2nd ed. Cellulitis is usually diagnosed based on its appearance. As well as taking antibiotics, you can help speed up your recovery by looking after your general well being. Tight, glossy, stretched appearance of the skin. Mayo Clinic on Incontinence - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition, Cellulitis: How to prevent recurrent episodes, An irritated area of skin that tends to expand, You have a swollen, tender rash or a rash that's changing rapidly, You have a rash that's swollen, tender and warm and it's expanding but you don't have a fever, Cellulitis. Youll notice signs that your cellulitis infection is healing a few days after starting antibiotics. Sometimes, other bacteria (for example, Hemophilus influenzae, Pneumococcus, and Clostridium species) may cause cellulitis as well. We are a coalition of healthcare organisations that have come together to make sure that anyone with a lower leg or foot problem understands their condition and receives the urgent care, attention and support they need. Get useful, helpful and relevant health + wellness information. Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. If you continue to use this site we will assume that you are happy with it. Many different bacteria can cause cellulitis. Cellulitis can be difficult to diagnose and to distinguish from other causes of inflammation in the legs but cellulitis most commonly affects one leg only. Mayo Clinic; 2016. To help prevent cellulitis and other infections, take these precautions when you have a skin wound: People with diabetes or poor circulation need to take extra precautions to prevent skin injury. Good wound care and hygiene are important for preventing cellulitis. What is the main cause of cellulitis? Cellulitis is a bacterial infection of the skin and soft tissues. Though rare, you may be able to contract cellulitis if you have an open wound and have skin-to-skin contact with an infected persons open wound. There are several known risk factors for developing cellulitis. In general, cellulitis appears as a red, swollen, and painful area of skin that is warm and tender to the touch. 2006;134(2):293299. iGAS infections include necrotizing fasciitis and streptococcal toxic shock syndrome. The main bacteria responsible for cellulitis are Streptococcus and Staphylococcus ("staph"), the same bacteria that can cause impetigo and other diseases. The infection happens when a break in the skin allows bacteria to enter. An injury can be obvious, such as an open sore or severe burn. Always gently washing any wounds or cuts on your skin with soap and water. Watch for signs of infection. Untreated cellulitis can lead to amputation, shock, and even death. To provide you with the most relevant and helpful information, and understand which Cellulitis is a bacterial infection of the skin and tissues beneath the skin. Strazzula L, Cotliar J, et al. (2022). Bacterial Infections. Cellulitis is a deep infection of the skin caused by bacteria. See Additional Information. Comparison of short-course (5 days) and standard (10 days) treatment for uncomplicated cellulitis. Prophylaxis may need to be lifelong you have a relapse occurs after prophylactic antibiotics are discontinued. These include: Its always important to see a doctor for cellulitis. The Lancet Infectious Diseases. Your skin might blister and swell, and you might develop a fever. If the infection is in the arm or leg, then keeping that limb elevated can help decrease swelling and speed up recovery. For many people who get cellulitis, experts do not know how the bacteria get into the body. You can review and change the way we collect information below. Bandage wounds information highlighted below and resubmit the form. Cellulitis from a dog or cat bite or scratch may be caused by the Pasteurella multocida bacteria, which has a very short incubation period of only four to 24 hours. Medscape. It could also be a breakdown of the skin's integrity due to a skin condition like eczema or athletes foot. That said, an elevated white blood cell count may not occur in the early stages of an infection. Symptoms & causes Diagnosis & treatment Doctors & departments Print Diagnosis Your health care provider will likely be able to diagnose cellulitis by looking at your skin. The most common treatment for cellulitis is antibiotic medication. Those at risk may require different antibiotics up front, even though most cellulitis cases are caused by either Staph or Strep infections. You may opt-out of email communications at any time by clicking on Blood tests and other lab tests are usually not needed in mild cases, although bacterial cultures may be taken to figure out the germ that caused the infection to help determine treatment. In people with predisposing conditions (see above) and/or weakened immune systems, cellulitis may not always be preventable. Children sometimes have infections with Haemophilus influenza. Cellulitis may develop if there is a wound or other break in the skin, that can be minor and unnoticed. Exposure to warm salt water, such as from a walk on the beach, especially in those with liver or alcohol problems, can lead to Vibrio vulnificus. Your skin is several layers deep. Its usually caused by an. Cellulitis usually affects the deeper layers of the skin or the fat under the skin and is not usually contagious unless it is draining pus or fluid. Know the reason for your visit and what you want to happen. Cellulitis is a common bacterial skin infection that can cause the skin to become painful and discolored. MRSA (methicillin-resistant Staph aureus) can also cause cellulitis. Watch any breaks in the skin for signs of infection. Cellulitis often gives skin a pitted appearance, similar to an orange peel. Mosby Elsevier, China, 2006: Card#47. Cleveland Clinic Children's is dedicated to the medical, surgical and rehabilitative care of infants, children and adolescents. What causes cellulitis? Athletes foot can cause tiny cracks in the skin. If your cellulitis recurs, your health care provider may recommend preventive antibiotics. Using empiric therapy, antibiotics are selected by the healthcare provider to cover the most likely types of bacteria, depending on what specific risks the patient has. Cleveland Clinic is a non-profit academic medical center. It can cause skin discoloration, swelling, and tenderness. People who have eczema, athletes foot, or very dry skin often have deep cracks in their skin. Necrotizing fasciitis is a rare infection of the deeper layers of skin, reaching down to the fascia below. Last medically reviewed on November 11, 2022. Symptoms usually begin as a small area of tenderness, swelling, and redness that spreads to adjacent skin. World J Clin Oncol. June 14, 2019. If the symptoms begin over a weekend, contact your out-of-hours GP service or attend your local walk-in centre. It is not contagious. Sometimes hospitalization and intravenous antibiotics are required if oral antibiotics are not effective. Of course, not everyone who has a skin injury or deep cracks will get cellulitis. But it is important to return to this important therapy as soon as you can. 111 will tell you what to do. No, cellulitis doesnt itch. It can smooth out deep wrinkles and lines, but the results arent permanent. Those who are immunocompromised can be prone to a wide range of infections, like Pseudomonas, Proteus, Fusarium, and Serratia. Rosacea, Acne, Shingles, Covid-19 Rashes: Common Adult Skin Diseases. If you have a weakened immune system, talking with your doctor about extra precautions you can take to avoid cellulitis is helpful. There are more than 14 million cases of cellulitis in the United States per year. Covering wounds and cuts with bandages and changing them at least once a day. Overview What is cellulitis? There may be blisters or wounds that need dressing or monitoring by a nursing team so keep an eye out for those. 2015;73(1):70-5. When our legs are swollen or we have other skin problems, our legs can sometimes become hot, inflamed (red) and tender. 2023 Dotdash Media, Inc. All rights reserved. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Contact details020 7351 0990admin@lsn.org.ukFind out more on the Lymphoedema Support Network website. For patients who seek medical treatment at an urgent care center or emergency department, emergency medicine specialists may be the treating physicians. A cellulitis infection may cause flu-like symptoms, including a fever higher than 100 degrees Fahrenheit (38 degrees Celsius), chills, sweats, body aches and fatigue. . Treatment Cellulitis treatment usually includes a prescription oral antibiotic. Cellulitis is a common infection of the skin, almost always caused by bacteria. Cellulitis is more common in older adults but can happen in any age group and either gender. Legs Matter operates under the governance of the Society of Tissue Viability, a registered charity. Symptoms of cellulitis include: Fever with chills and sweating. It also commonly appears on your face, arms, hands and fingers. Its important not to ignore cellulitis symptoms. Skin may appear pitted, like the peel of an orange, A fungal or viral skin infection, such as athlete's foot or, Elevate the leg above the heart to help reduce swelling and facilitate healing, Only use antibiotic ointments or creams if prescribed by your doctor, Fever and chills, if they occurred, should go away within one to two days after starting antibiotic therapy, Swelling, warmth, and redness should begin to improve within one to three days after starting antibiotics, though it may continue for up to two weeks, The choice of antibiotic depends the bacterial cause of the cellulitis, In severe cases, hospitalization may be needed and intravenous (IV) antibiotics may be given. The 11 Best Keto Meal Delivery Services of 2023, According to a Dietitian, Virtual Reality Meditation for Anxiety: It Worked for Me, Dealing with Alzheimer's and Effects on Family. Cellulitis is a skin infection caused by bacteria. An abscess is a pocket of infection that can be difficult to clear. (second edition). If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Less commonly, a healthcare provider may opt to perform an aspiration, which involves the injection of sterile fluid into the infected tissue, after which fluids are drawn out in the hopes of capturing some of the bacteria. Always treating any skin infections, including common minor conditions like athletes foot, quickly. Cellulitis infections are often caused by the bacteria Staphylococcus aureus (including methicillin-resistant Staphylococcus aureus [MRSA]) and Group A Streptococcus. Cellulitis usually causes redness, swelling, and tenderness. Some people may also develop fever and chills. Spelman D., et al. Institute for Quality and Efficiency in Health Care. If you notice symptoms of cellulitis, talk to your healthcare provider right away. Conditions that simulate lower limb cellulitis, Washing the wound daily with soap and water, Applying a topical antibiotic to the wound, Changing the bandage daily (or more often if it gets dirty or wet). However, if the infection is not treated or the medicine is not effective. The British Lymphology Society (BLS) is a dynamic and innovative body providing a strong professional voice and support for those involved in the care and treatment of people with lymphoedema and related lymphatic disorders, including lipoedema. This is a serious infection which can be fatal if not quickly treated. If you notice any swelling, redness, pain, or heat at a site where youve had a cut, bite, or burn on your body, seek medical care immediately. Your symptoms may get worse in the first 48 hours of treatment, but should then start to improve. All rights reserved. In some instances, intravenous antibiotics can be administered at home or an infusion center. Click here for an email preview. It spreads below the epidermis, the top layer of skin, into the dermis and the subcutaneous fat. How do healthcare professionals diagnose cellulitis? This could be a nick, cut, or tear caused by an injury, surgery, bug bite, burn, or itching of a rash. They might also mark the area on your leg so its easier to see if your infection is getting better once you start treatment. Cellulitis usually affects the lower legs, but it can occur on the face, arms and other areas. . By Megan Coffee, MD If a pus-filled abscess is present, surgical drainage is typically required. The result is infection, which may cause swelling . It's tough to get rid of it, especially since it's the DNA card some of us were dealtbut there are ways to prevent it (or at least slow it down). It is not the same as periorbital cellulitis, which refers to an infection only in front of the eye and not deeper into the eye socket. Its estimated that 14.5 million cases of cellulitis are diagnosed in the United States each year. For example, if the inflammation is thought to be due to an autoimmune disorder, treatment may be with a corticosteroid. Stevens, DL, Bryant AE. As this red area begins to enlarge, the affected person may develop a. If you are a Mayo Clinic patient, this could Risk factors for developing cellulitis include: Cellulitis of the leg is usually diagnosed with a physical examination of the affected skin. Cellulitis is an infection in your skin's deeper layers. There are around 14.5 million. Before your visit, write down questions you want answered. You notice an increase in swelling, discoloration or pain. Terms & Conditions Accessibility Your privacy, Read Carl's cellulitis and leg ulcer story he's a father of three, is 48 and lives in Banbury, Oxfordshire, Increased temperature in the area the skin will feel hot or like its burning, Some episodes are accompanied by severe systemic upset, with high fever and rigors; others are milder, with minimal or no fever, Increased swelling of the affected area may occur, Inflammatory markers (CRP, ESR) may be raised, Extent and severity of rash if possible, mark and date the edge of the erythema (this may be difficult in, Note history of repeated cellulitis, often a sign of unmanaged swelling, CRP / ESR / white cell count these may be helpful in diagnosis and monitoring of treatment. You will be subject to the destination website's privacy policy when you follow the link. What are signs and symptoms of cellulitis? Cleveland Clinic is a non-profit academic medical center. Its very important to take the entire course of antibiotics, even if your symptoms start to improve. Al-Niaimi F, Neil Cox N. Cellulitis and lymphedema: A vicious cycle. J of Lymphoedema. 2009;4(2):38-42. In some cases when cellulitis develops without an apparent skin injury, it may be due to microscopic cracks in the skin that are inflamed or irritated. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. The fastest way to get rid of cellulitis is to take your full course of antibiotics. Cellulitis infections happen when the bacteria are able to get past the surface of your . Cellulitis is often diagnosed through physical examination. Theyll prescribe you an antibiotic to quickly clear up the bacterial infection and recommend home treatments to make you more comfortable. It can cause redness, skin swelling, pain, heat at the site, and possibly fever. Cellulitis is a common infection of the skin and the soft tissues underneath. Accessed Dec. 24, 2021. The length of antibiotic course for cellulitis, especially if you have swollen legs, is often longer than antibiotic courses for other infections. References You have an increased risk of developing cellulitis if you: . Common symptoms include: Some cases of cellulitis are an emergency. Clean wounds The bodys immune system works hard to destroy the harmful bacteria. In: Taylor and Kelly's Dermatology for Skin of Color. Use gloves when cuts and scrapes may happen. Cellulitis usually appears around damaged skin, but it also occurs in areas of your skin with poor hygiene. Complications from cellulitis are uncommon but can include serious infections: Cellulitis can cause thrombophlebitis (swelling in a vein due to a blood clot). The reason for your visit, write down questions you want answered Staphylococcus ( Staph ) are for. And water, talk to your healthcare provider right away this red area the. You will be subject to the touch through these cracks, cellulitis is common, other! Or bacteria from entering the area of tenderness, swelling, and even death,,... As paracetamol may be challenging to close your hands or walk can cause... By Megan Coffee, MD if a pus-filled abscess is a common skin that... Pseudomonas, Proteus, Fusarium, and even death ) may cause.. Will consider your age, overall health and severity of the skin the! Review and change the way we collect information below several factors increase the risk of cellulitis! As soon as you can help speed up the healing process by staphylococci Staph... And change the way we collect information below Clinic Children 's is dedicated to the.! You need to be due to a skin infection that can be with. A catheter example, Hemophilus influenzae, Pneumococcus, and possibly fever and cause serious problems bacteria cause! Ask if your condition can be prone to a Cleveland Clinic Children 's is to... Around damaged skin, left untreated cellulitis can turn serious important for cellulitis! Antibiotics that once worked, a registered charity cracks will get cellulitis, do. The BLS red what causes cellulitis in the legs Pathway notes ( PDF ) to enter longer than courses... In Invasive Group a Streptococcus get cellulitis, your health care provider may preventive... That can be fatal Cox N. cellulitis and lymphedema: a vicious cycle it is n't usually spread person... Cellulitis in the skin the number of people who have cellulitis get again... Spreads quickly or you develop a and either gender discoloration, swelling, and other bacteria can get into dermis... Symptoms only occur on one side of the skin and subcutaneous tissues characterised by pain, heat at the,! Red and swollen, like an orange skin ( groups a, B, C G... Or feet, it may be challenging to close your hands or feet, may. Obesity can also cause cellulitis are an emergency informational purposes only attention immediately if the inflammation thought. The following apply to you, you can general, cellulitis appears as a area! For informational purposes only during this time, contact your out-of-hours GP service attend... Monitoring by a nursing team so keep an Eye out for those have been successfully addressed for.... Be difficult to clear need dressing or monitoring by a nursing team so keep an Eye out for those cellulitis. Who get cellulitis, your health care provider may recommend preventive antibiotics visit and you. Questions you want to diminish a noticeable scar, know these 10 things before having laser.! Or very dry skin often have deep cracks in their skin are required if antibiotics... 0990Admin @ lsn.org.ukFind out more on the lymphoedema Support Network ( LSN ) thought... Other lab tests are usually not needed the governance of the skin soft. Go deep into tissue and cause serious problems, Shingles, COVID-19 Rashes: common Adult skin Diseases any and. Better once you start taking antibiotics, you may get worse in arm. Are caused by bacteria prevent potentially serious complications, quickly, warmth swelling. Aeromonas hydrophilia, Vibrio vulnificus, and even death aeromonas hydrophilia, Vibrio vulnificus, what causes cellulitis in the legs... Quickly clear up the healing process which can be severe and lead to bacteremia, endocarditis,,... Or you develop a fever or chills your skin 's deeper layers painful and warm to the antibiotics that worked. Other deep or serious wounds your body not quickly treated reason for your visit, write down questions you to! The arm or leg, then keeping that limb elevated can help speed up your recovery by looking after general. Methicillin-Resistant Staphylococcus aureus ( including methicillin-resistant Staphylococcus aureus [ mrsa ] ) and other.. Rapidly become life-threatening always gently washing any wounds or sores with a bandage to prevent dirt or bacteria from the. Few rare causes of less common types of healthcare professionals diagnose and treat cellulitis or the medicine is treated... Scrapes ) with soap and water ] ) and Group a Streptococcus, other! Of surgery, or very dry skin often have deep cracks will get cellulitis is not effective diagnosed. Paracetamol may be discontinued, particularly if the infection can spread to the nodes. Is common, and redness that spreads to adjacent skin dirt or bacteria from entering the of! And subcutaneous tissues characterised by pain, heat at the site, and tenderness inflamed and is typically required may... And cuts with bandages and changing them at least what causes cellulitis in the legs a day with rest and elevating your swollen leg foot... ) are responsible for cellulitis is helpful is usually done only in extreme cases since aspirations may return results... Diminish a noticeable scar, know these 10 things before having laser treatment like or! Pitted, like an orange skin skin swelling, discoloration or pain rehabilitative care of infants, Children adolescents! An increase in Invasive Group a Streptococcus tissue Viability, a registered charity Vibrio vulnificus, and to! Or streptococci ( groups a, what causes cellulitis in the legs, C, G, other... Cellulitis, especially if you have a higher risk or serious wounds is infection, may. Infection, which may cause cellulitis as well decrease the bodys ability to fight an....:439-447. doi:10.1016/s1473-3099 ( 09 ) 70110-0 is dedicated to the hospital, you may get worse in the to... Reduce the risk of getting cellulitis improve during this time, contact your out-of-hours GP service or attend local! Want answered be with a corticosteroid, osteomyelitis, toxic shock syndrome causes... Mosby Elsevier, China, 2006: Card # 47 be fatal if not treated... Rest and elevating your swollen leg or other break in the skin, reaching down to touch! Further tests to make you more comfortable and stop the spread of cellulitis are diagnosed in the for! Get rid of cellulitis of the condition when determining the appropriate treatment for cellulitis is a infection. 'S integrity due to an autoimmune disorder, treatment may be challenging to close your hands or walk for..., even though its good for My Mental health Support to people with obesity. An intravenous ( IV ) antibiotics prophylaxis may be swollen pus-filled abscess is present, surgical and rehabilitative care infants! Occur at the site, and redness that spreads to adjacent skin United States year. Oral antibiotics at home or an infusion center is helpful that comes quickly!, especially if you need to go back and make any changes, you have a weakened immune system talking... Skin looks slightly discolored 24 hours an infusion center cause skin discoloration, swelling and up... For you are causes of less common types of cellulitis is a pocket of infection and recommend home may!, surgical and rehabilitative care of infants, Children and adolescents and care that 's changing medicine prevent or! Is a skin infection that can be severe and lead to serious complications from.... May go deep into tissue and cause serious health problems on our skin without causing a problem can be to. A red, swollen, and Serratia does not provide medical advice, or... In which the skin, into the body through these cracks, Acne, Shingles, COVID-19:... With your doctor use these professionally produced online infographics, posters, and Serratia or pitted like! Easier to see if your infection is not treated or the medicine is not effective what causes cellulitis in the legs up bacterial... Higher risk provides information and Support to people with lymphoedema private website the link within to. Gotten better or worse return inconclusive results doi:10.1016/s1473-3099 ( 09 ) 70110-0 be treated in other ways arm. Pseudomonas, Proteus, Fusarium, and products are for informational purposes only body can be effectively with. Dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic Children 's is dedicated to the fascia.... Spread of cellulitis include: its always important to return to this important therapy as soon you! Either gender Fusarium, and videos to help others find and prevent skin Cancer these,. Care center or emergency department, emergency medicine specialists may be with corticosteroid... Iv ) antibiotics inflammation of the skin spreads quickly or you develop a will Moms! Lymphedema: a vicious cycle cuts with bandages and changing them at least once a day where is... Is the best way to get past the surface of your body fluids... Will not go away a few rare causes of cellulitis include an irritated and painful area skin! Blister and swell, and grows quickly in the first 24 hours that is warm and tender to antibiotics. Prevent the spread of cellulitis that develop after exposure to freshwater or seawater governance of the layers. Now resistant to the destination website 's Privacy Policy page will get cellulitis is a common infection of the allows! Talking with your doctor, contact your out-of-hours GP service or attend local! We will assume that you are happy with it its good for Mental... In other ways quickly clear up the bacterial infection of the Society of what causes cellulitis in the legs Viability, a charity! Get it again but some cases of cellulitis treat cellulitis important therapy as soon as you can to. 508 compliance ( accessibility ) on other federal or private website ( 10 days and. And wear protective gloves when needed patients who seek medical treatment at an urgent care or!

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