Enviado por "CONSULTORIO MÉDICO FLORES BUISSON"- MÁNCORA - PERÚ
Paciente de sexo femenino y de 47 años de edad que acude hoy Sábado 08 de Noviembre de 2008 a la consulta médica por presentar desde hace 1 mes, pero ya en forma mucho más sintomática desde hace 5 días, unas lesiones a nivel de la región posterior del muslo derecho y hace 3 días diseminado al pie derecho. Las lesiones consisten en máculas, pápulas y eritema provocando mucho dolor a ese nivel, cada día más intenso y con sensación de calentura y adormecimiento en dicho nivel (hace 5 días tuvo fiebre alta y escalofríos que no se repitieron hasta la fecha).
La paciente refiere que igual sintomatología tuvo hace 2 años - y por no darle importancia- necesitó estar internada 4 días en un hospital con el diagnóstico de celulitis de todo el miembro inferior derecho y dichas lesiones se iniciaron de manera similar a la actual, aunque aquella oportunidad se complicaron y fueron mucho más difusas, tardando un mes en desaparecer.
El diagnóstico es celulitis en la región posterior del muslo derecho con diseminacióin a la región externa del pie del mismo lado.
Patient of feminine sex and of 47 years of age who comes today On Saturday, the 08th of November of 2008 to the medical consultation for presenting for 1 month, but already in much more symptomatic form 5 days ago, a few injuries at level of the later region of the right thigh and 3 days ago spread to the right foot. The injuries consist of spots, pápulas and eritema provoking greatly pain at this level, every more intense day and with sensation of "fever" and drowsiness in the above mentioned level (5 days ago she had high fever and shakes that do not repeated it to the date).
The patient recounts that equal symptomatology was 2 years ago - and for not giving the importance - she needed to be interned 4 days in a hospital with the diagnosis of cellulitis of the whole low right member and the above mentioned injuries began in a way similar to the current one, although they complicated and went away that opportunity much more diffuse, being late one month in disappearing.
The diagnosis is cellulitis in the later region of the right thigh with diseminacióin to the external region of the foot of the same side.
REMEMBER:
Cellulitis is an infection of the deep subcutaneous tissue of the skin. Cellulitis can be caused by normal skin flora or by exogenous bacteria, and often occurs where the skin has previously been broken: cracks in the skin, cuts, blisters, burns, insect bites, surgical wounds, or sites of intravenous catheter insertion. Skin on the face or lower legs is most commonly affected by this infection, though cellulitis can occur on any part of the body. The mainstay of therapy remains treatment with appropriate antibiotics.
Erysipelas is the term used for a more superficial infection of the dermis and upper subcutaneous layer that presents clinically with a well defined edge. Erysipelas and cellulitis often coexist, so it is often difficult to make a distinction between the two.
Cellulitis is unrelated to cellulite, a cosmetic condition featuring dimpling of the skin.
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Bien!
edmundogoodson 3 years ago 4
Muy inteligente forma de transmitir las experiencias. Gracias Dr, Flores B!
angirettp 3 years ago 4