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FACIAL INFECTIONS

Facial Cellulitis

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.

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.

Table 150-1

Antibiotic Therapy for Facial Infections

Table 150-2

Antibiotic Doses for Facial Infections

Erysipelas

Erysipelas is a ...

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