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https://www.readbyqxmd.com/read/29453874/outcomes-of-early-dermatology-consultation-for-inpatients-diagnosed-with-cellulitis
#1
David G Li, Fan Di Xia, Hasan Khosravi, Anna K Dewan, Daniel J Pallin, Christopher W Baugh, Karl Laskowski, Cara Joyce, Arash Mostaghimi
Importance: Many inflammatory skin dermatoses mimic cellulitis (pseudocellulitis) and are treated with antibiotics and/or hospitalization, leading to unnecessary patient morbidity and substantial health care spending. Objective: To evaluate the impact of early dermatology consultation on clinical and economic outcomes associated with misdiagnosed cellulitis. Design, Setting, and Participants: This prospective cohort study enrolled patients with presumed diagnosis of cellulitis in the emergency department, in the emergency department observation unit, or within 24 hours of admission to an inpatient unit of a large urban teaching hospital between February and September 2017...
February 16, 2018: JAMA Dermatology
https://www.readbyqxmd.com/read/29453872/effect-of-dermatology-consultation-on-outcomes-for-patients-with-presumed-cellulitis-a-randomized-clinical-trial
#2
Lauren N Ko, Anna C Garza-Mayers, Jessica St John, Lauren Strazzula, Priyanka Vedak, Radhika Shah, Allison S Dobry, Sowmya R Rao, Leslie W Milne, Blair Alden Parry, Daniela Kroshinsky
Importance: Each year, cellulitis leads to 650 000 hospital admissions and is estimated to cost $3.7 billion in the United States. Previous literature has demonstrated a high misdiagnosis rate for cellulitis, which results in unnecessary antibiotic use and health care cost. Objective: To determine whether dermatologic consultation decreases duration of hospital stay or intravenous antibiotic treatment duration in patients with cellulitis. Design, Setting, and Participants: This randomized clinical trial was conducted in a large urban tertiary care hospital between October 2012 and January 2017, with 1-month follow-up duration...
February 16, 2018: JAMA Dermatology
https://www.readbyqxmd.com/read/29451197/erratum-extranodal-natural-killer-t-cell-lymphoma-nasal-type-presenting-as-recurrent-facial-cellulitis
#3
(no author information available yet)
[This corrects the article DOI: 10.4103/ijdvl.IJDVL_687_16.].
2018: Indian Journal of Dermatology, Venereology and Leprology
https://www.readbyqxmd.com/read/29450710/indicators-for-imaging-in-periorbital-cellulitis-secondary-to-rhinosinusitis
#4
Basel Jabarin, Ephraim Eviatar, Ofer Israel, Tal Marom, Haim Gavriel
PURPOSE: Our objective was to identify the clinical indicators for subperiosteal orbital abscess (SPOA) among patients who present with periorbital cellulitis secondary to rhinosinusitis, and to evaluate the need for performing a computerized tomography (CT) scan. METHODS: A retrospective cohort study of all patients admitted to our tertiary care emergency department between 2006 and 2014 was conducted. Included were healthy patients with acute periorbital cellulitis secondary to rhinosinusitis...
February 15, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29450387/orbital-cellulitis-and-brain-abscess-rare-complications-of-maxillo-spheno-ethmoidal-rhinosinusitis
#5
Farah Constantin, Patricia-Alexandra Niculescu, Oana Petre, Daniel Balasa, Alexandru Tunas, Ioana Rusu, Mihai Lupascu, Cristiana Orodel
Sinus infections can be complicated by ocular infections and, in late phases, by brain parenchyma infection. The article debates the case of a 12-year-old patient suffering from paucisymptomatic maxillo-spheno-ethmoidal rhinosinusitis, which was later complicated by orbital cellulitis, ending with the development of a brain abscess. The treatment is complex, initially targeting the source of the infection through draining the collection by middle maxillary antrostomy and anterior posterior ethmoidectomy, then the ablation of the brain abscess and postoperatively with prolonged massive antibiotherapy...
April 2017: Romanian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29447901/hospital-cost-analysis-of-children-with-preseptal-cellulitis
#6
İlknur Çağlar, Cansu Kafes, Mine Korcum, Mine Düzgöl, Ahu Kara, Süleyman Nuri Bayram, Hurşit Apa, İlker Devrim
OBJECTIVE: Hospitalization of the children with preseptal cellulitis creates a burden on healthcare costs. This study aimed to analyze the hospital costs for preseptal cellulitis and determine the factors contributing. METHODS: Children, between 1 and 18 years old, who were admitted to hospital for preseptal cellulitis from May 2013 to December 2016 were included in the study. Patients were divided into groups by age (under or equal to five years and older than five years) and by the presence of sinusitis...
March 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29441250/an-unusual-case-of-acute-chondrocalcinosis-in-wrist-joint-presenting-as-cellulitis
#7
Razia Awan, Haider Ghazanfar, Karen A Martes Pena, Rafi I Farkhad
Chondrocalcinosis is a common arthritic disorder among elderly patients. We present a case of a 71-year-old woman presenting with an acute episode of the left forearm with hand swelling. A provisional diagnosis of cellulitis was made and the patient was started on intravenous antibiotics. The patient's condition did not improve. Joint aspiration of the wrist joint was done and showed positive birefringent rhomboid-shaped crystals. A final diagnosis of acute chondrocalcinosis was made.
December 6, 2017: Curēus
https://www.readbyqxmd.com/read/29440333/non-tender-recurrent-scrotal-cellulitis
#8
Jithma P Abeykoon, Jonas Paludo, Mark Enzler
No abstract text is available yet for this article.
February 9, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29432067/community-based-treatment-for-chronic-edema-an-effective-service-model
#9
Christine J Moffatt, Debra C Doherty, Peter J Franks, Peter S Mortimer
BACKGROUND: Chronic edema care is patchy and of variable quality internationally. This study was undertaken to develop and evaluate a system of care that would provide for patients within a geographical area of London (Wandsworth), United Kingdom. METHODS AND RESULTS: A prospective cohort design with intervention of a new service design following a 6-month baseline period. Patients were identified through health professionals. A stratified random sample was drawn from all patients and an implementation strategy developed...
February 2018: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/29430467/dissecting-cellulitis-of-the-scalp-a-rare-dermatological-manifestation-of-crohn-s-disease
#10
Taseen A Syed, Zain Ul Abideen Asad, George Salem, Kanika Garg, Erin Rubin, Nelson Agudelo
Dissecting cellulitis is an inflammatory disease of the skin. We report a case of recurrent dissecting cellulitis in a patient with Crohn's disease. A 31-year-old man with a history of purulent scalp lesions presented with night sweats, weight loss, abdominal pain, and hematochezia. Colonoscopy revealed a diffuse friable mucosa with extensive pseudopolyps. Scalp biopsy demonstrated epidermoid inclusion cysts with granulation tissue and chronic inflammatory cell infiltration, indicative of dissecting cellulitis...
2018: ACG Case Reports Journal
https://www.readbyqxmd.com/read/29428738/estimating-the-health-care-costs-associated-with-recurrent-cellulitis-managed-in-the-outpatient-setting
#11
Jessica St John, Lauren Strazzula, Priyanka Vedak, Daniela Kroshinsky
BACKGROUND: Recurrent cellulitis is diagnosed in 22% to 49% of all cellulitis cases, but little is known about the costs associated with these cases. OBJECTIVE: To characterize patients with recurrent cellulitis in the outpatient setting and estimate the associated costs. METHODS: A retrospective chart review was conducted for adult patients who presented to the outpatient facilities at our institution from January 1, 2007, to December 31, 2011, with recurrent cellulitis...
February 7, 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29427799/the-epidemiology-and-risk-factors-for-recurrent-severe-lower-limb-cellulitis-a-longitudinal-cohort-study
#12
Jeffrey Cannon, John Dyer, Jonathan Carapetis, Laurens Manning
OBJECTIVE: To describe the epidemiology and risk factors for recurrence of severe lower leg cellulitis (LLC) METHODS: A longitudinal cohort study using state-wide data of adults presenting with recurrent LLC following a primary episode occurring between January 2002 and December 2013. The incidence of recurrent LLC was estimated using the cumulative incidence function, accounting for mortality. Independent risk factors for recurrence were identified using Fine-Gray sub-distribution and Cox proportional hazards models...
February 7, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29427797/severe-lower-limb-cellulitis-defining-the-epidemiology-and-risk-factors-for-primary-episodes-in-a-population-based-case-control-study
#13
Jeffrey Cannon, Gawri Rajakaruna, John Dyer, Jonathan Carapetis, Laurens Manning
OBJECTIVE: To describe the epidemiology and risk factors for primary episodes of severe lower leg cellulitis (LLC). METHODS: A longitudinal cohort study using state-wide data linkage of adults presenting to Western Australian (WA) hospitals with a first ever LLC from January 2002 to December 2013. To determine risk factors, medical records from the index patient, together with comparable data from controls matched by age, sex, postcode and month of admission were extracted...
February 7, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29424798/group-b-streptococcal-cellulitis-and-necrotizing-fasciitis-in-infants-a-systematic-review
#14
Monika Wojtera, Horace Cheng, Kyle Fiorini, Kevin Coughlin, Michelle Barton, Julie Strychowsky
BACKGROUND: There is no consensus regarding approaches to infantile group B streptococcal (GBS) head and neck cellulitis and necrotizing fasciitis. We present a case of GBS necrotizing cellulitis and summarizes the literature regarding the presentation and management of infantile head and neck GBS cellulitis and necrotizing fasciitis. METHODS: The literature was searched using PubMed, Web of Science, EMBASE, and Medline (inception to April 2017) by two independent review authors...
February 7, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29415341/clinical-characteristics-affecting-length-of-stay-in-patients-with-cellulitis
#15
Megan Grinlinton, Stephen Sohn, Andrew Hill, Irene Zeng, Jenny Wagener
BACKGROUND: This study aimed to profile the clinical characteristics of patients presenting to Middlemore Hospital with cellulitis in order to identify factors that are associated with an increased length of stay (LOS). METHODS: Retrospective clinical data were collected for all patients aged 18 and above who were admitted with cellulitis to Middlemore Hospital General Surgical Department between 1 January and 31 March 2014. Comorbidities, laboratory results and medical conditions were included in the investigation...
February 7, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29405299/adult-onset-primary-cyclic-autoimmune-neutropenia-a-case-report
#16
Tomohiro Yabushita, Nobuhiro Hiramoto, Yuichiro Ono, Satoshi Yoshioka, Shuhei Karakawa, Masao Kobayashi, Takayuki Ishikawa
BACKGROUND: A few cases of primary autoimmune neutropenia (AIN) have been reported in adults, but cyclic primary AIN, which is characterized by the periodic oscillation of neutrophils, is uncommon in adults. STUDY DESIGN AND METHODS: Herein, we report a 70-year-old man referred to our hospital with severe neutropenia and thrombocytopenia. He had experienced intermittent episodes of low-extremity purpura for the past 3 months, with cellulitis on the skin of the scalp 1 month previously...
February 5, 2018: Transfusion
https://www.readbyqxmd.com/read/29404826/neurological-complications-of-acute-and-chronic-sinusitis
#17
REVIEW
Andrea Ziegler, Monica Patadia, James Stankiewicz
PURPOSE OF REVIEW: Acute and chronic sinusitis can give rise to a wide array of intracranial and orbital complications. These complications include brain abscess, subdural empyema, epidural abscess, meningitis, venous sinus thrombosis, frontal bone osteomyelitis, and orbital cellulitis and abscess. Despite numerous medical advances, these complications carry a risk of mortality and significant morbidity. RECENT FINDINGS: Recent studies have shown improvement in both the mortality and the morbidity associated with the neurologic complications of acute and chronic sinusitis...
February 5, 2018: Current Neurology and Neuroscience Reports
https://www.readbyqxmd.com/read/29404597/cellulitis-and-soft-tissue-infections
#18
Rachel Bystritsky, Henry Chambers
Cellulitis and soft tissue infections are a diverse group of diseases that range from uncomplicated cellulitis to necrotizing fasciitis. Management of predisposing conditions is the primary means of prevention. Cellulitis is a clinical diagnosis and thus is made on the basis of history and physical examination. Imaging may be helpful for characterizing purulent soft tissue infections and associated osteomyelitis. Treatment varies according to the type of infection. The foundations of treatment are drainage of purulence and antibiotics, the latter targeted at the infection's most likely cause...
February 6, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29399267/pseudocellulitis-need-not-be-benign-three-cases-of-superficial-migratory-thrombophlebitis-with-negative-venous-duplex-ultrasonography
#19
Frances Tian, Katherine R Mazurek, Robert N Malinak, Steven M Dean, Benjamin H Kaffenberger
Trousseau syndrome is a rare phenomenon in cancer patients characterized by superficial migratory thrombophlebitis. In this brief report, the authors describe three recent case presentations of patients without a prior history of cancer who were treated for cellulitis prior to be admitted to the hospital. All three patients were found to have "negative" testing on venous duplex scanning. Communication with the technicians and additional clinical and laboratory evaluations confirmed Trousseau syndrome as well as an underlying hematologic cancer in each patient...
December 2017: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/29397766/trends-in-discharges-from-the-hiv-aids-ward-at-a-tertiary-canadian-hospital-from-2005-to-2014
#20
Denise Jaworsky, Peter Phillips, Zishan Cui, William Chau, Guillaume Colley, Raja Dutta, Benita Yip, Hayden Kremer, Oghenowede Eyawo, Julio Sg Montaner, Mark W Hull
Advances in HIV therapies have transformed HIV infection into a manageable chronic disease. Accordingly, hospital admission trends among people living with HIV may have evolved over time. This study describes discharge diagnoses from the dedicated HIV/AIDS ward at St. Paul's Hospital in Vancouver, Canada. A retrospective database review of admissions to the HIV/AIDS ward between 1 July 2005 and 30 June 2014 was conducted. Primary discharge diagnoses were manually categorized by condition and reviewed by two physicians...
February 4, 2018: AIDS Care
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