Dermatology Book

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Non-Group A Streptococcal Cellulitis

Aka: Non-Group A Streptococcal Cellulitis, Non-Group A Streptococcus Cellulitis, Non-Group A Strep Cellulitis
  1. See Also
    1. Erysipelas
  2. Pathophysiology
    1. Cellulitis caused by Non-Group A Beta Hemolytic Streptococcus
  3. Predisposing Conditions
    1. Coronary Artery Bypass with saphenous vein graft
      1. Cellulitis extends along saphenous venectomy course
      2. Often recurrent Cellulitis episodes
      3. Associated with Lymphedema and Venous Insufficiency
      4. Tinea Pedis often allows portal of entry
    2. Radical pelvic surgery, radiation or Pelvic node cancer
      1. Involves vulva, inguinal areas, and bilateral legs
      2. Recurrent episodes associated with recent coitus
  4. Signs
    1. Lymphangitis
    2. Recurrent Cellulitis
  5. Differential Diagnosis
    1. Erysipelas
    2. Other Cellulitis etiologies
  6. Management
    1. See Cellulitis
    2. Treat underlying fungal infection if present
      1. Miconazole
      2. Clotrimazole
  7. Prevention
    1. Pretreat fungal infection if present prior to Surgery
      1. Tinea Pedis prior to CABG with saphenous vein graft
      2. Vaginal Candidiasis prior to pelvic surgery

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