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FACIAL INFECTIONS

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Facial Cellulitis

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Cellulitis is a soft tissue infection that involves the skin and subcutaneous tissues. Facial cellulitis is most commonly caused by Streptococcus pyogenes and Staphylococcus aureus, with an increasing predominance of methicillin-resistant Staphylococcus aureus (MRSA). Less commonly, cellulitis may represent an extension from a deeper facial infection. Cellulitis is characterized by erythema, edema, warmth, pain, and loss of function. Clinical features of a well-defined, palpable border are absent.

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The diagnosis of cellulitis is clinical. Ultrasound and computed tomography (CT) may be used to evaluate for abscess or more extensive infection. In most cases, treatment involves oral antibiotics for 7 to 14 days. Antibiotic recommendations for conditions discussed in this chapter are listed in Tables 150-1 and 150-2. Consider hospitalization and parenteral antibiotics for patients with signs of systemic illness, failed outpatient therapy, or significant comorbidities.

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Table 150-1

Antibiotic Therapy for Facial Infections

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Table 150-2

Antibiotic Doses for Facial Infections

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Erysipelas

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Erysipelas is a ...

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