Department of Dermatology, Veterans Affairs Puget Sound Health Care System and University of Washington School of Medicine, Seattle, Washington 98108, USA.
J Am Acad Dermatol. 2012 Aug;67(2):163.e1-12; quiz 175-6. doi: 10.1016/j.jaad.2012.03.024.
An aging population and obesity have both contributed to a rising incidence of lower limb cellulitis; the most important predisposing factors include older age, obesity, venous insufficiency, saphenous venectomy, and edema. Streptococci are the most commonly implicated pathogen, and often reside in the interdigital toes spaces. Any disruption of the skin surface can allow the organism to invade. Effective management requires an appropriate antibiotic and attention to the predisposing factors. This article summarizes the epidemiology and treatment of this common infection.
人口老龄化和肥胖症都导致下肢蜂窝织炎的发病率上升;最重要的诱发因素包括年龄较大、肥胖、静脉功能不全、隐静脉切除术和水肿。链球菌是最常涉及的病原体,通常存在于趾间空间。任何皮肤表面的破坏都可以使病原体入侵。有效的管理需要适当的抗生素和关注诱发因素。本文总结了这种常见感染的流行病学和治疗方法。