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7/24/2019 Cellulitis is a Suppurative Inflammation Involving Subcutaneous Tissue
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Cellulitis is a suppurative infammation involving subcutaneous tissue, caused most
requently by S. pyogenes or S. aureus. Usually, but not always, this ollows some
discernible wound. On the leg tinea pedis is the most common portal o entry. Mild
local erythema and tenderness, malaise and chilly sensations or a sudden chill and
ever may be present at the onset. he rythema rapidly becomes intense and
spreads. he area becomes in!ltrated and pits on pressure. Sometimes the centralpart become nodular and surmounted by a vesicle that ruptures and discharges pus
and necrotic material. Strea"s o lymphangitis may spread rom the area to the
neighboring lymph glands. #angrene, metastatic abscesses, and grave sepsis may
ollow. hese complication are unusual in immunocompetent adults, but children