Department of Medicine, Infectious Diseases, University of California-San Francisco, 350 Parnassus, Rm 808B, UCSF Box 0654, San Francisco, CA 94117, USA.
Infect Dis Clin North Am. 2021 Mar;35(1):49-60. doi: 10.1016/j.idc.2020.10.002.
Cellulitis is a common infection of the skin and subcutaneous tissue caused predominantly by gram-positive organisms. Risk factors include prior episodes of cellulitis, cutaneous lesions, tinea pedis, and chronic edema. Cellulitis is a clinical diagnosis and presents with localized skin erythema, edema, warmth, and tenderness. Uncomplicated cellulitis can be managed in the outpatient setting with oral antibiotics. Imaging often is not required but can be helpful. Recurrent cellulitis is common and predisposing conditions should be assessed for and treated at the time of initial diagnosis. For patients with frequent recurrences despite management of underlying conditions, antimicrobial prophylaxis can be effective.
蜂窝织炎是一种常见的皮肤和皮下组织感染，主要由革兰氏阳性菌引起。危险因素包括既往蜂窝织炎发作、皮肤损伤、足癣和慢性水肿。蜂窝织炎是一种临床诊断，表现为局部皮肤红斑、水肿、发热和触痛。无并发症的蜂窝织炎可在门诊口服抗生素治疗。通常不需要影像学检查，但可能有帮助。复发性蜂窝织炎很常见，应在初次诊断时评估和治疗潜在疾病。对于尽管治疗潜在疾病仍反复发作的患者，抗菌药物预防可能有效。
