RT Book, Section
A1 Sarvepalli, Satish K.
A1 Mangino, Julie E.
A2 Dean, Steven M.
A2 Satiani, Bhagwan
A2 Abraham, William T.
SR Print(0)
ID 1105291890
T1 LOWER EXTREMITY CELLULITIS
T2 Color Atlas and Synopsis of Vascular Diseases
YR 2015
FD 2015
PB McGraw-Hill Medical
PP New York, NY
SN 9780071749541
LK accesssurgery.mhmedical.com/content.aspx?aid=1105291890
RD 2024/04/19
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.