CELLULITIS
Description
- It is the infection of skin and subcutaneous tissue characterized by pain, swelling, and redness. The borders are usually ill defined
Etiology
- Causative organism: mostly group A Streptococcus (S pyogenes), less common are S.aureus and Pasteurella multocida . Entry is common via a skin injury. It may also be secondary to a systemic infection
- Risk factors : Diabetes mellitus , Skin diseases like eczema, site with disrupted normal lymphatic drainage
Types
- Pain, swelling, redness and peau d’orange appearance of the involved site. It is poorly defined with indurations
- Common location is the lower limb. Superficial bullae, belbs may form. Cellulitis may sometimes spread to involve deeper layers of skin and tissue
- Additional features: Lymphangitis , lymphadenitis, bullae, purulent exudates
- Systemic symptoms : In moderate/ severe infection there will be fever, chills, confusion , nausea, headache, muscle and joint pain
- Erysipelas is one form of streptococcal cellulitis which involves malar area of face and lower extremities, characterised by elevation and bright red appearance of skin
Investigation
- Usually clinical diagnosis is done
- CBC: Leukocytosis
- Inflammatory markers: CRP, Procalcitonin may be elevated
- Soft tissue ultrasound
Treatments
Internal medicines
- Panchatiktaka / Manjishtadi kashaya
- Aragwadhadi kashaya
- Gokshuradi / Triphaladi guggulu
- Gomutrahaeeratki – to reduce inflammation
- Guggulu panchapala choorna with madhu
- Vilwadi gutika
- Chandraprabha gutika
- Doosheevishari gutika
Procedures
- Virechana - Avipathi choorna
- Karaskara kashaya/ ksheera kashaya dhara
- Karanja patra kshalana
- Guduchipatradi lepa
- Triphala/Guducyadi kashaya kshalanam
- Paranthyadi kera – ext application
Department
Agada Tantra
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