TY - CHAP M1 - Book, Section TI - LOWER EXTREMITY CELLULITIS A1 - Sarvepalli, Satish K. A1 - Mangino, Julie E. A2 - Dean, Steven M. A2 - Satiani, Bhagwan A2 - Abraham, William T. Y1 - 2015 N1 - T2 - Color Atlas and Synopsis of Vascular Diseases AB - A 42-year-old man with morbid obesity, diabetes mellitus, congestive heart failure, and venous insufficiency presented with fever, pain, and swelling of his left lower extremity (LLE). He reported trivial trauma to his LLE after bumping into a table 2 weeks prior; the affected area progressed from mild redness to an open ulcer at the ankle. It eventually developed increased redness, warmth, and pain extending from the left ankle to the knee. At admission, he had an open ulcer with purulent drainage along with excoriation of the superficial layer of the skin (Figure 67-1). Given the purulent nature of the cellulitis and concern for methicillin-resistant Staphylococcus aureus (MRSA), he was started on intravenous vancomycin and received appropriate wound care. After initial improvement, he was switched to oral clindamycin to complete a total of 10 days of therapy. On a 2-week follow-up visit, his cellulitis had resolved. SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/04/20 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105291890 ER -