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