Talk:Cellulitis

Medicine: Dermatology / Translation Mid‑importance

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This article has been mentioned by a media organization:

"Dermatology students improve Wikipedia entries on skin disease". EurekAlert!. 3 April 2018. Retrieved 11 April 2019.

Ideal sources for Wikipedia's health content are defined in the guideline Wikipedia:Identifying reliable sources (medicine) and are typically review articles. Here are links to possibly useful sources of information about Cellulitis.

PubMed provides review articles from the past five years (limit to free review articles)
The TRIP database provides clinical publications about evidence-based medicine.
Other potential sources include: Centre for Reviews and Dissemination and CDC

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Mablythe.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 17:04, 16 January 2022 (UTC)[reply]

Obesity

Someone needs to add some information on cellulitis because of obesity, and put it under the "causes" section. Esn 10:13, 15 November 2006 (UTC)[reply]

Photographs

I've added three photographs I took when I got ill (awwrrr). Don't know if I did it the most appropriate way though (new to editing wiki pages). I see some parts of the text got messy after I added the new pics. Maybe someone can help. RafaelLopez 07:58, 21 February 2007 (UTC)[reply]

Re-phrase Intro

Some of the text was copied pretty much verbatim from the Mayo Clinic article cited in the references section (intro to this article from intro on the Mayo Clinic site, down to the punctuation). Should it be paraphrased more?

It may be worth adding waxing as a potential cause: http://www.journals.uchicago.edu/CID/journal/issues/v45n3/50306/50306.web.pdf —Preceding unsigned comment added by 210.49.195.196 (talk) 19:30, 23 October 2007 (UTC)[reply]

Choice of antibiotics

Beta-lactams and non-beta lactams work just as well, but non-beta lactams are discontinued more often: doi:10.1016/j.amjmed.2008.01.028 JFW | T@lk 08:47, 2 May 2008 (UTC)[reply]

We also need to include the Arch Intern Med 2007 paper on risk of recurrence based on location, presence of underlying venous eczema, and history of cancer. JFW | T@lk 08:47, 2 May 2008 (UTC)[reply]

Also, the Cefalexin article is pointing here203.206.162.148 (talk) 09:21, 25 November 2010 (UTC)[reply]

Hidratensis Suppurativa - content removed as excessive and out of context.

I have removed the text shown here as being excessive and out of context. The condition Hidradenitis Suppurativa has its own article. I have inserted a small line about HS being a potential cause of cellulitis.

"There is a very rare dermatological condition called Hidradenitis Suppurativa (HS). HS is a non-contagious skin disease that includes numerous and chronic manifestations of symptoms, including abscesses, several types of cysts (epidermoid, sebaceous, pilonidal), just to name a few. These infections of the skin usually occurs in clusters, leading to multilocalized infections that are extremely sensitive and often cause debilitating pain. Persistent and reoccurring lesions can cause scarring and may cause the formation of sinus tracts depending on the extent of the wounds. These lesions can also cause the formation of tunnels connecting the abscesses or infections underneath the skin. Most patients with HS require multiple surgeries in order to be able to live somewhat comfortably. Wound dehiscence is a premature bursting open of the wounds along surgical sutures, which only further complicates the resistant healing process. Wound dehiscence can be considered a surgical complication, although it occurs very frequently in patients with Hidradenitis Suppurativa who have undergone surgery specifically for their skin wounds. Occurrences of bacterial infections and cellulitis (deep tissue inflammation) often occur at these sites. Hidradenitis Suppurativa pain and depression can be extremely difficult to manage.^[1] HS has been linked with other auto-immune conditions,^[2] androgen dysfunction, plugged or dysfunctional apocrine (sweat) glands^[3] and/or hair follicles^[4] (creates inflammation, pain, and swollen lesions; and there may be an autoimmune component implied)), bacterial infections (which are infections that are secondary infections and therefore not contagious), Crohn's Disease, Rheumatoid Arthiritis, Squamous Cell Carcinoma, Hashimoto's Thyroiditis, obesity, anemia, amyloidosis, arthropathy. Stage III Hidradenitis Suppurative complications are extremely painful and can lead to death in some cases." Wotapalaver (talk) 15:39, 7 August 2010 (UTC)[reply]

References

^ HS-USA :: What is Hidradenitis Suppurativa?". http://www.hs-usa.org/hidradenitis_suppurativa.htm. Retrieved 2007-07-08.
^ ClinicalTrials.gov NCT00329823 Etanercept in Hidradenitis Suppurativa.
^ DermNet acne/hidradenitis-suppurativa.
^ "HSF - What is Hidradenitis Suppurativa? What is HS?". http://www.hs-foundation.org/abouths/what.htm. Retrieved 2007-07-08.

Non-bizarre methods to raise oxygen levels

As the article states, hyperbaric chamber therapy may not always be available. Nonetheless, an increase in the blood oxygen level should have a similar effect, I would think. Conditions like obesity hypoventilation syndrome reduce blood oxygen level in susceptible patients. However, that article explains that much of the decrease in breathing effectiveness is simply the exercise involved, and on searching I found a forum participant describing "deep belly breathing" as raising his blood oxygen 10% [1]. Consumer pulse oximeter devices, even a Nintendo peripheral, are apparently available, which can allow the consumer to monitor his own blood oxygen level and check for such improvement. Is anyone here familiar with such ideas? Wnt (talk) 13:37, 10 August 2010 (UTC)[reply]

@Wnt pulse oximeter yes. I seem to remember this from some time ago. hypoventilation definition is? less;air. according to my brains reasoning without looking this up. meditation could theoretically help with patients with anxiety along with this. Hunterseth (talk) 10:12, 17 September 2023 (UTC)[reply]

Causes

Shouldn't the wording be "a type of bacterium"? You wouldn't say an apple is "a type of fruits". Corpho (talk) 03:14, 27 February 2011 (UTC)[reply]

@Corpho you're right.

but other than that. causes

a broken bone, waiting too long for the surgery, a dirty environment (hospital, prison, school) touching an area where the bacterium is present, or a dirty surgical tool could all be applicable factors in contracting cellulitis. Hunterseth (talk) 10:05, 17 September 2023 (UTC)[reply]

Heading text

what is the % risk factor for a patient with cellulitis to die? — Preceding unsigned comment added by 117.198.225.219 (talk) 18:43, 13 November 2011 (UTC)[reply]

-- Death is unlikely as long as treated - without treatment death will occur. loss of limb is likely I dont know the statistics.

Ludwigs angina

I've included a very brief mention of ludwigs angina. I feel its important to at least mention, as it pertains to the very same pathology of "skin" lesions, just within the submandibular space. I understand that this may not be the first condition people think of when presenting a discussion on cellulitis but it is defined as such and is, in my opinion, essential to a comprehensive discussion, particularly given the life threatening nature of the condition. — Preceding unsigned comment added by 122.175.5.169 (talk) 21:43, 29 January 2012 (UTC)[reply]

Article needs work

Though cellulitis can be a medical emergency, there is no description of symptoms, such as that found at the NIH's authoritiative article, Cellulitis (MedlinePlus).

The treatment in the article in almost every area could be improved by including information found in the NIH's article, Cellulitis (MedlinePlus), especially in the areas of risk factors, symptoms, signs, medical tests, treatment, prognosis, complications, circumstances under which medical consultation is needed, and when consultation is urgent (facial cellulitis, red streaks extending toward heart, etc).

One simple and important point that should be added to the article is that a health care provider may mark the edges of the redness with a pen, as a way to see easily if the redness is progressing because it then moves past the marked border, as mentioned in Cellulitis (MedlinePlus).

Pending a thorough rewrite, perhaps the excellent concise external article, Cellulitis (MedlinePlus), might be added in an external link section?

Signs and symptoms section especially needs a rewrite

This section seems to consist of three photos headed by this self-contradictory sentence about the stage represented in the photos:

"The photos shown here of cellulitis are of mild cases, and are not representative of earlier stages of the condition."

Normally, don't mild cases occur at the earlier stages of the condition, and develop if untreated into moderate and then life-threatening at the later stages?

So the reader is left with no way of knowing whether the photos are at the "hmm, might see a doctor" stage, or at the "Yikes! If only you had come in sooner" stage.

The NIH's article provides an especially helpful section on signs and symptoms, with abundant material that could be added, but does not clarify the apparent self-contradiction as to the stage of the symptoms shown. See Cellulitis (MedlinePlus)

Sources

doi:10.1002/14651858.CD004299.pub2 Cochrane
IDSA guideline doi:10.1093/cid/ciu296

Both ought to be mentioned. JFW | T@lk 15:22, 23 November 2014 (UTC)[reply]

alternate causes and home care

What are the most common causes of similar symptoms? How to distinguish? How often do minor cases get better without treatment? What is the best home care for minor possible cases?-71.174.175.150 (talk) 21:23, 28 December 2014 (UTC)[reply]

@71.174.175.150 from what I've read, eating polysporin seems to be a good way to combat both gram positive and gram negative bacteria. (this post was longer, but my device reset itself when I was typing, I'll see if I can edit.) Hunterseth (talk) 09:54, 17 September 2023 (UTC)[reply]

@71.174.175.150 okay, so unfortunately I cannot edit from here. eating polysporin is also a good way to develop brain issues. also, I would like to theorize that since the human body knows what's best for it, and is trying to make the afflicted area hot, then applying extra heat, (especially when low on calories) would be wise. Hunterseth (talk) 09:57, 17 September 2023 (UTC)[reply]

Images

Extended content

Dubious math

I have placed a {{dubious}} tag on the statement speaking of the "21.2 million" people treated in 2015 as being approximately "2 of every 1000".[2] These numbers put the global population at 10.6 billion which is grossly exaggerated. I would fix it myself but do not have time right away; later, I will but hope sooner to see it answered and done. Thank you.--John Cline (talk) 09:31, 27 July 2017 (UTC)[reply]

I just took a look at the reference used there (and drilled down into the actual review article). The closest thing I could find in "support" of this claim is: "Incidence rates nearly double with each 10-year increment of age, with a prevalence of about 200 per 100,000 person-years, although estimates vary widely"^[1] and that only refers to lower-extremity cases. I found the following on Medscape: "Because cellulitis is not a reportable disease, the exact prevalence is uncertain,"^[2]. The first supplemental index on the study for the 2015 reference^[3] contains similar language on page 495, so we may want to consider removing the statement altogether. Syko1096 (talk) 11:01, 27 July 2017 (UTC)[reply]

Math was not done. Source says: "Incidence rates nearly double with each 10-year increment of age, with a prevalence of about 200 per 100,000 person-years, although estimates vary widely. 69" Have adjusted to better reflect the source. Doc James (talk · contribs · email) 21:54, 27 July 2017 (UTC)[reply]

I apologize for this tardy reply. I meant to thank you both for your efforts and prompt action to resolve my query; especially the collegiality demonstrated by Syko1096.--John Cline (talk) 15:09, 15 September 2017 (UTC)[reply]

References

Dressings applied to leg

This article says that cellulitis is treated by antibiotics. I am not a medical doctor, but I am a former victim of cellulitis, and remember that I had dressing applied to my legs, so could this article say that it can be treated with dressing? Vorbee (talk) 19:37, 14 November 2017 (UTC)[reply]

Stuff is generally based on high quality references. Doc James (talk · contribs · email) 19:42, 14 November 2017 (UTC)[reply]

@Vorbee I am curious. this dressing, was it a medicated dressing? Hunterseth (talk) 10:00, 17 September 2023 (UTC)[reply]

[1] HS-USA :: What is Hidradenitis Suppurativa?". http://www.hs-usa.org/hidradenitis_suppurativa.htm. Retrieved 2007-07-08.

[2] ClinicalTrials.gov NCT00329823 Etanercept in Hidradenitis Suppurativa.

[3] DermNet acne/hidradenitis-suppurativa.

[4] "HSF - What is Hidradenitis Suppurativa? What is HS?". http://www.hs-foundation.org/abouths/what.htm. Retrieved 2007-07-08.

[5] ttp://dx.doi.org/10.1016/j.mcna.2014.01.005

[6] ttp://emedicine.medscape.com/article/214222-overview#a5

[7] ttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055577/#sec1title

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