Cellulite

Cellulite

    * Introduction
    * Symptoms of Cellulite
    * Cellulite Causes and Risk Factors
    * Treatment and prevention
Denotes second term cellulite problems, which have no connection between them: the cell or common aesthetic, characterized by the deposition of subcutaneous fat, and medical or infectious cellulitis.
Infectious Cellulitis

Acute infectious cellulitis is an inflammation of the skin accompanied by pain, erythema (redness), swelling and local heat. Cellulitis can be caused by external pathogenic bacteria, but also the indigenous microbiota that colonize the skin and its annexes (S.aureus, S.pyogenes). Careful anamnesis may guide the etiological diagnosis because ltcari handle single external pathogens in nature. Business continuity is a gateway for bacteria in the skin (cuts, stings, bites, surgical incisions).

S.aureus infection spreads from a limited central focus (abscess, folliculitis), while infection caused by S.pyogenes is a diffuse inflammation that expands more rapidly, the fever and lymphadenopathy isotita satellite.

Surgery for removal of fragments of safena vein may be followed by streptococcal cellulitis. Streptococci can produce cellulitis in patients with chronic lymphedema (elephantiasis). In individuals with diabetes mellitus frequently cellulite is caused by group B streptococcus and the child, periorbital cellulitis is caused by Haemophilus influenzae; H.influenzae spread of infection through vaccination may be offset.

 
There are other situations in which certain bacteria can cause cellulite, these infections occur in typical situations, that a careful history can identify the precise cause. For example, the cell that occur as a cat or dog bite is most commonly caused by Pasteurella multocida, Staphylococcus intermedius and Capnocytophaga canimorsus, plus a variety of anaerobic microorganisms (including the bite man). Pasteurella species are resistant to nafcillin and dicloxacina but sensitive to quinolones, tetracycline and erythromycin. Infections associated with animal or human bites can be treated successfully by administration of ampicillin and cefotixina.

 
P.aeruginosa penetrate the nail from an injury (when someone is standing board = 'sweaty shoe syndrome''), three types of bacteria can cause infection: ectima gangrenosum, cellulitis folliculitis, and subsequent to penetrating wounds. Treatment requires mandatory, surgical drainage of purulent collections. Empire (until the results of DST) can be used an aminoglycoside, a third-generation cephalosporin to a penicillin (semisynthetic) or a fluoroquinolone.

Incapacitated patients hospitalized and immunocompromised people (HIV) often suffer from the cells with gram-negative bacilli (including P.aeruginosa). In such cases, we recommend to culture and sensitivity testing because it is a multidrug resistant hospital flora.

From the above, we notice that the etiology of cellulite can be determined by history, where there is a solution of continuity, samples for culture can, in some cases is difficult to identify the causative agent as the needle punctures the center of lesion will lead to a positive culture in only one fifth of cases. Lesion size does not correlate with an increased number of bacteria, inflamtia axtinzandu is through the action of microbial toxins or inflammatory mediators of the host.

  Risk factors for cellulitis

People who have an increased risk of cellulitis are those who suffer from some diseases:
-Diabetes -Poor peripheral circulation Chronic hepatitis, liver cirrhosis, Skin-disease-eczema, psoriasis, diseases that cause skin lesions: chicken pox or acne Insect-sting -Use of corticosteroids or immunosuppressive drugs