双侧蜂窝织炎
Bilateral cellulitis.
作者信息
Batra Vivek, Baras Alexander
机构信息
John Hopkins Community Physicians, Columbia, Maryland, USA.
Department of Pathology, Johns Hopkins, Baltimore, Maryland, USA.
出版信息
BMJ Case Rep. 2015 Sep 21;2015:bcr2015211117. doi: 10.1136/bcr-2015-211117.
We present a case of bilateral lesions in a 50-year-old man, which were on first impression mistaken for and initially treated as bilateral cellulitis. We propose that bilateral cellulitis, as opposed to unilateral, is rare and that other aetiologies should be considered in evaluating a patient with bilateral lesions. The differential diagnosis includes stasis-dermatitis, lipodermatosclerosis, lymphoedema and vascular lesions such as Kaposi sarcoma, as was identified in this case. Early consultation with dermatology and biopsy in unclear cases mitigates the unnecessary use of prolonged antibiotics, antibiotic resistance and Clostridium difficile infections. HIV testing is an essential screening test in all adults who present with non-specific viral symptoms and rash.
我们报告一例50岁男性双侧病变的病例，该病变初诊时被误诊并初步当作双侧蜂窝织炎进行治疗。我们认为，与单侧蜂窝织炎相比，双侧蜂窝织炎较为罕见，在评估双侧病变患者时应考虑其他病因。鉴别诊断包括淤积性皮炎、脂膜皮肤硬化症、淋巴水肿以及血管病变，如本例中确诊的卡波西肉瘤。在诊断不明确的病例中，尽早咨询皮肤科医生并进行活检，可减少不必要的长期抗生素使用、抗生素耐药性及艰难梭菌感染。对于所有出现非特异性病毒症状和皮疹的成年人，HIV检测是一项必要的筛查检查。
Zotero 插件