University of California, San Francisco, California (R.B., H.C.).
Ann Intern Med. 2018 Feb 6;168(3):ITC17-ITC32. doi: 10.7326/AITC201802060.
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.
蜂窝织炎和软组织感染是一组多样化的疾病,范围从单纯性蜂窝织炎到坏死性筋膜炎。对诱发疾病的管理是主要的预防手段。蜂窝织炎是一种临床诊断,因此是基于病史和体格检查做出的。影像学检查可能有助于确定脓性软组织感染和相关骨髓炎的特征。治疗方法因感染类型而异。治疗的基础是引流脓液和使用抗生素,后者针对感染的最可能原因。