SELULITIS
SELULITIS
Pembimbing:
dr. Dudy Disyadi Nurkusuma, Sp.B, M.Si
Definitions
An acute spreading bacterial infection below
the surface of the skin characterized by
redness (erythema), warmth, swelling, and
pain.
Definitions
Cellulitis occurs when an entry point
through normal skin barriers allows
bacteria to enter and release their toxins in
the subcutancous tissues.
Anamnesis (History Taking)
• Greet patients
1
3 • Chief of complaint
Anamnesis (History Taking)
History of present illness
• Family history
5
Unclear boundaries
Eritema
Edema and
lymphatic dilation
of the skin
The formation of
bullae
Suppurative
inflammation
Physical Examination
Palpation :
Crepitation and fluctuation
Pain
Felt warm
Pulsation value
Can have systemic symptoms in the form
of malaise, fever, chills
Differential Diagnosis
Cellulitis Erysipelas Dermatitis statis
Etiology Staphylococcus aureus, Beta hemolytic Venous
Streptococcus group A, hypertension
pyogenes Streptococcal
Epidemiology High risk in Newborn, Older age
imunocompromised postpartum women,
patients and in children patients with breaks
in the skin
Prodromes Malaise, chills and Malaise for several Fever, headache,
fever hours, chills, high malaise
fever, headache,
vomitting and joints
pains
Eruption Local erythema, tinea Face and legs, The lower legs
pedis-most common Begins in the check secondary to
portal of entry near the nose or in peripheral venous
front of the lobe of disease
the ear and spreads
upward to the scalp
Supporting investigation
Laboratory
X-ray
Blood culture
Treatment
Incision and drainage
Treatment
Prognosis
The prognosis depends on immune status
and health of the patient's, but generally
the prognosis is good (dubia ad bonam).
Education
Maintain cleanliness
Lifestyle modification education
Educate signs of spreading systemic
infection
Thank You