Wayne State University School of Medicine, Detroit, MI, USA.
Henry Ford Hospital, Detroit, MI, USA.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241249437. doi: 10.1177/21501319241249437.
This report seeks to discuss sequelae of chronic cellulitis that is commonly treated in the ambulatory setting, as exacerbated by the conditions of living outside. Further we hope to identify etiologic factors that contribute to complication development. Additionally, this article will touch on unique treatment plan considerations for unhoused patients with the intention to educate providers and reduce mortality and morbidity relating to pedal skin and soft tissue infections in this population. This piece examines the case of a 52-year-old man with a history of chronic diseases, substance use disorder, and recurrent cellulitis. We highlight systemic issues in healthcare delivery for unhoused patients, including inadequate discharge planning, limited access to medication, and challenges in shelter placement. The discussion section emphasizes the importance of accurate diagnosis and tailored treatment plans for cellulitis in houseless individuals, the importance of a multidisciplinary approach incorporating social work services, and addressing chronic illnesses, substance use disorder, and housing issues. The report advocates for heightened awareness of bilateral cellulitis in unhoused populations, emphasizing the need for comprehensive, individualized treatment plans.
本报告旨在讨论在门诊环境中常见的慢性蜂窝织炎的后遗症，这些后遗症由居住条件恶化所加剧。此外，我们希望确定导致并发症发展的病因因素。此外，本文将涉及无家可归患者的独特治疗方案考虑因素，旨在教育提供者并降低该人群与足皮肤和软组织感染相关的死亡率和发病率。本文分析了一位 52 岁男性的病例，他有慢性疾病、药物滥用障碍和反复发作的蜂窝织炎病史。我们强调了无家可归患者医疗服务提供中的系统性问题，包括出院计划不足、药物获取有限以及安置住所的挑战。讨论部分强调了对无家可归者的蜂窝织炎进行准确诊断和制定量身定制的治疗计划的重要性，强调了采用社会工作服务的多学科方法的重要性，并解决慢性疾病、药物滥用障碍和住房问题的重要性。该报告呼吁提高对无家可归人群中双侧蜂窝织炎的认识，强调需要制定全面、个体化的治疗方案。
