IT WAS A CASE OF CELLULITIS WHICH WAS CURED BUT OCCURED AGAIN AFTER A
HERE IS A MALE PATIENT AGED ABOUT 63 YEARS , KNOWN DIABETIC AND HYPERTENSIVE HAD GOT THIS TYPE OF LESION ON LEFT LEG......DIAGNOSIS AND TREATMENT. WITH DUE RESPECT TO CUROFIANS....DR.RAJESHGOPAL MBBS IMA PMC REG NO 35726.LUDHIANA.
This is a case of 63 years old male with Type 2 DM, Hypertension, and cellulitis of left leg and foot. What is the duration of cellulitis? Investigations FPG PPG HBA1C CBP RFT Fasting lipid profile LFT TFT ECG Micralbuminuria CUE X ray of left leg Vascular doppler of the same limb Treatment is 1 Meticulous control of diabetes with insulin. 2 Control Hypertension 3 Absolute bed rest. 4 Elevation of the effected limb 5 Antibiotics against gram positive gram negative and anerobes 6 Tissue lytics like chymotrypsin and trypsin 7 Refer to a surgeon
This is a case of Cellulitis Left leg including foot. The patient is suffering from T2DM HTN. Work up. FPG 2hr PG HbA1c RFT CBP, ESR CUE Fasting Lipid profile Serum Electrolytes. Management. Admit the case Foot end elevation Appropriate Antibiotics against Gram positive Gram negative Aenarobes. Meticulous control of DM with Basal Bolus insulin Regimen. In case required Fasciotomies. Daily wound dressings. Tissue Lytics like Trypsin chymotrypsin.
severe cellulitis with DM. since no ulcer,usually infecting organism will be staphylococcus. so the antibiotics should be augmenting with metronidazole.Palpate red area .Aspirate fluctuant area,if pus comes do incision and drain at the particular area.Send aspirate for C&S.On seeing the image, there are multiple black spots showing the necrosis. Don't elevate limb in diabetic foot,as infection ascend up through neurovascular bundle. Most of diabetic foot pts are neuroischaemic,on elevation of limb aggravate the ischaemia. antibiotic based on C&S report.
Good morning to all colleagues here. I addition to what everyone has suggested here, I would like to add that, he may need a fasciotomy to decompress the tight compartment. Pain relief and inflammation control will be quick.
as patient is diabetic it is severe form of erysipela Adv. parentral antibiotics inj. lizolid . I. v. metrogyl anti inflamatory drug like disperzyme. elevation of leg. control of diabetics. if not treated properly patient may develop ncrotizing fascitis leading to necrosis of skin. in that case you will need early debridment.
Cellulitis rx leg elevation .inj insulin. antibiotics and analgesic & trypsin bromolein preparation.
Chronic Cellulitis...Control DM BY Order a cbc esr RFT S- electrolyte and Renal and LL DOPPLER
Cases that would interest you
- Login to View the image
55/M. known diabetic. no other co-morbidity. presented with the following condition since last two months. c/o pain. no fever/no systemic complains. b.sugar at admission 110. other blood investigations - report due. Dx and Mx
Dr. Pranay Gourav3 Likes17 Answers - Login to View the image
30/F ,has developed this lesion for the past 2 days with edema.. no h/o fever..already she had previous h/o this type of lesion in her left upperlimb 2 months ago treated elsewhere..Dx and management?
Dr. Praveen Kumar1 Like26 Answers - Login to View the image
48/F KCO DM type II PT STOPPED OHA BY HERSELF FOR 3MONTHS, AND THEN DEVELOPED SUCH ERYTHEMATOUS RASH OVER LL NON PRURITIC, PAINLESS I JUST RESTARTED THE OHA AND GAVE TAB LINEZOLID 600 FOR 10 DAYS AND THE RESULTS ACHIEVED BUT DON'T KNOW WHAT IS THE DIAGNOSIS
Dr. Hemangi Pethkar6 Likes20 Answers - Login to View the image
A 64yrs/M Patient admitted in Our Hospital with H/O:- Swelling on left leg..No H/O:- Diabetes. K/C/O of Hypertension with Moderate Obesity. Medication H/O:-Tab Amlo-AT,Tab Ecosprin 75,Tab Envas 5mg. L/E:-Cellulitis with ? Phileriasis. Pus C/S sent to lab. Started On Inj Tazaar 4.5gms q8hrsly, Tab Banocide Forte q8hrsly. Lab:-TLC 15,500,BSL 95. Tomorrow posted for Cleaning & Debridement under GA. Any Suggestions.. Regards.
Dr. Yogesh Hareshwar10 Likes17 Answers - Login to View the image
A 45 years old, male patient developed sudden swelling of Rt. Leg with mild pain , no h/o trauma, no h/o hypertension or diabetes . cellulitis. Please, discuss diagnosis and management.
Dr. Sinai Narvekar3 Likes23 Answers
2 Likes