Cellulitis
40 year old male, no h/o comorbidities, presented with pain and swelling of the right foot. No h/o trauma, fall. On examination has local rise of temperature, pitting pedal oedema and tenderness. Ankle joint movements are normal. Dx and Rx please.
D/D 1.Infective - cellulitis 2.Acute Gouty arthritis 3.Insect bite followed by secondary infection 4.DVT 5.lymohangitis - bacterial or filarial 6.Bone involvement - osteomyelitis Start treatment on the lines of infective cellulitis and get S.uric acid , colour doppler study of lower limb vessels and an X - ray foot to look for any osteomyelitis . Treatment- Tab Linezolid 600 mg B.D for 10 days Tab Aceclofenac + serratiopeptidase B.D for 10 days Elevation of limb Remaining treatment depends upon the investigations reports
Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!
I agree with Dr S Agrawal, add to levocetirizin 5mg od, Deithylcarbamazin 150 bd 10 day
DVT ???? Cellulitis FBC RFT BS antibiotics Chymoral forte Liofen PCM The leg should be supported on a pillows or on footstool
Could be veous obstruction thrombophlebiis.Feel the pulse s.Arterial occlusion can also produce edema.Lymph edema to be considered next.
Consider Cellulitis DVT Filarial lymphangitis Usg evaluation will help CBC esr Lower limb elevation Active movements If investigations are in conclusive, empirical iv antibiotics
Cellulitis lower leg Swelling is diffuse over dorsum foot Icepacks Broadspectrum antibiotics like amoxyclav625mg 1bd Antiinflamatory If not improved adv Incision and drainage
Prolonged time standing on foot Cardiac dis? Fluid retention Stress/strain Rule out cause..first
Cases that would interest you
- Login to View the image
A male aged 34 years *Chief Complaints* Right leg erythematous swelling over the medial malleolus with surrounding induration (x 1 month) *Physical Examination* Local tenderness(+) Temp increased *Investigations* USG image taken
Dr. Hardik Ahuja1 Like9 Answers - Login to View the image
68 years old diabetic male comes to clinic with pain in the left foot and difficulty walking since two months. He also have HTN and Dyslipidemia. But all the three conditions are fairly controlled. He is a non smoker and non alcoholic. His uric acid levels are 7.1, HbA1c 7.1 %, ESR 28, TSH 2.8. X ray foot was taken. Diagnosis and management based on brief history & x ray findings ?
Dr. Mohammed Parvez4 Likes21 Answers - Login to View the image
28 year female, farmer by occupation reported with swelling in middle finger since 3 month. H/O pain + No h/O fever, weight loss, loss of appetite, trauma L/E tenderness + What It could be? D/D
Dr. Ashok Laddha3 Likes41 Answers - Login to View the image
70 yo man k/c/o dm & htn since 8 yrs. recently diagnosed with diabetic retinopathy. has on & off pain & swelling in rt foot phalenges only which comes back after stopping nsaids. x-ray shows no fracture.uric acid normal. 2d echo,Doppler right lower leg & ecg was done. serum creat,hgt, hba1c,lipid profile within normal limits.please interpret ecg n correlate with Doppler study & suggest further treatment
Dr. Priya Sonavdekar2 Likes22 Answers - Login to View the image
68/m known diabetic since 10yrs got sudden swelling over rt foot 7 days back, which slowly went on increasing till ankle. the affected area is quite warm, and extremely painful that pt find it difficult to walk. please help me with the possible diagnosis and rx
Dr. Hemangi Pethkar1 Like12 Answers
11 Likes