Severe Leg Cellulitis

40-year-old male with severe leg cellulitis after scratching a skin lesion on his leg.  Given moxifloxacin 400mg once a day.  Continuously subsiding.

Cellulitis may be mild, moderate or severe depending on the situation – early or late diagnosis, slow or rapid progression, etc.   In the above case, it is a severe cellulitis at the time of diagnosis based on the magnitude of areas of involvement (wide) and progression within 3 to 5 days.

cellulitis_leg_15dec (3)

Day 1

cellutis_leg_15dec_3day (2)

Day 3

cellulits_leg_14days (2)

Day 10 (improving)


Cellulitis is a common, potentially serious bacterial skin infection. Cellulitis appears as a swollen, red area of skin that feels hot and tender. It can spread rapidly to other parts of the body.

Skin on lower legs is most commonly affected, though cellulitis can occur anywhere on your body or face. Cellulitis might affect only your skin’s surface. Or it might also affect tissues underlying your skin and can spread to your lymph nodes and bloodstream.

Left untreated, the spreading infection can rapidly turn life-threatening. It’s important to seek immediate medical attention if cellulitis symptoms occur.

Cellulitis occurs when bacteria, most commonly streptococcus and staphylococcus, enter through a crack or break in your skin. The incidence of a more serious staphylococcus infection called methicillin-resistant Staphylococcus aureus (MRSA) is increasing.

Although cellulitis can occur anywhere on your body, the most common location is the lower leg. Bacteria is most likely to enter disrupted areas of skin, such as where you’ve had recent surgery, cuts, puncture wounds, an ulcer, athlete’s foot or dermatitis.


This entry was posted in Skin and Soft Tissues - Inflammation and Infection. Bookmark the permalink.

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