Cellulitis.
30D/ M Wt-3.6kg C/O - Swelling and redness over lower abdomen, penis , scrotum and medial aspect of both thighs since 3 days H/O fever present O/E- GC- Below avg/afebrile P- 112/min SPO2- 98%on O2 CNS- active cry + CVS- S1S2+ Resp- B/L air entry +nt P/A- soft LE-redness over lower abdomen, penis , scrotum and medial aspect of both thighs. Raised temperature over the skin Pus flakes present over the penis and scrotum IMP - Cellulitis of lower abdomen, penis, scrotum and thigh. Attachments Clinical pic Usg swelling Usg b/l inguinoscrotal region CBC
good case doctor . usg wasnt needed . as the diagnosis is very clear . seeing the photograph . theres no time to waste . give good cover for staphylococcus aureus . n send blood c/s . start the patient on inj vancomycin n inj piperacillin tazobactum . avoid cephalosporins most of these cases are resistant to them these days . my d/d s staphylococcal scalded skin syndrome / necrotising fascitis .
It is a case of Fournier' s gangrene or necrotising fasciatis of scrotum and penis with spreading cellulitis to lower abdominal wall perineum and thighs. It is a very serious condition may lead to septicaemic shock any so needs ICU care IV drip to continue Antibiotic inj Ceftriaxone 250 mg with Salbactum 125 mg iv bd Supportive therapy Management of wound Extensive debribement of scrotal skin and the necrotic material and thus testes may be open and may implanted to pouch made in upper part of thighs Excision of penile affected skin if necessary Regular dreesing Culture sensitivity of would for proper antibiotics Care to be taken for kidney function and vitals.
Acute cellulitis with sepsis Leucocytosis Inj piperacillin+inj tazobactum Or meropanum Locally cold sponging Mupirocin oint Antiinflamatory suspension
? BL.. LYMPHADENOPATHY.. ? SUPPURATIVE..LYMPHADENOPATHY.. NEED'S.. BS.. ANTIBIOTICS WITH.. NSAIDS..AS PER REQUIREMENT.. TOPICALLY..MUPIROCIN..
Cellulitis 1)wash wound with trifala churna fant 2)then apply AMPUCARE as suggested by Dr Nitin chaube 3)apply combination of shodan tail and ropan tail at a time. abhyantar .... gandhak rasayan 2-0-2 arogyavardhini 2-0-2 wound will heal within 2 months
Thank you sir.
Cases that would interest you
- Login to View the image
cellulitis all over body swelling all over creatinine 1,hb 9.5 urine alb +
Dr. R Shyam Gupta2 Likes23 Answers - Login to View the image
A 65yrs old female came with burning sensation and swelling N/K/C/O DM
Dr. S.vijay Basker Basker1 Like11 Answers - Login to View the image
Blister at right lower limb with itching,fever and anorexia. Thrombocytopenia, increased TLC. Guess the diagnosis and treatment.
Tejvir Sharma2 Likes9 Answers - Login to View the image
history of multiple abscesses on left thigh. one has been done i&d. h/o 15 days. tenderness all over thigh with cellulitis and swelling of the knee joint. another abcess is developing on upper thigh. he has been on att by some other physician. cannot understand the scalding on the thigh. should att be continued ? please give your valuable comment.
Dr. Saif Ali2 Likes7 Answers - Login to View the image
I am posting the following images of a baby of 2yrs with fever for 3 days. I immediately referred the case to nearest medical collage hospital. what may be the diagnosis.
Dr. Raghavendra Rao0 Like25 Answers
1 Like