Cellulitis: Symptoms, Recovery, and Ongoing Concerns

Cellulitis

Hello Doctor,
Last month on the 9th, I was diagnosed with cellulitis.
After surgical treatment, there has been improvement, and the swollen area has returned to its original size.
However, there is still some localized redness, and when I elevate my leg, the temperature feels a bit high, although it is normal at other times.
During my follow-up visit, the doctor determined that I do not need to continue taking antibiotics.
I would like to ask if there is still an infection that has not been completely resolved or if there are other reasons for these symptoms.
Could it be an infection of the fascia? Thank you for your response, Doctor.

Cai Cai, 20~29 year old female. Ask Date: 2016/06/12

Dr. Li Zhonghuai reply Surgery

Hello! If you have a wound, please clean it daily on your own, avoid contact with tap water, and keep your foot elevated.
If there is still no progress, please return for a follow-up appointment.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/06/12

More Info

Cellulitis is a common and potentially serious bacterial skin infection that affects the deeper layers of the skin and the underlying tissue. It typically presents with symptoms such as redness, swelling, warmth, and pain in the affected area. The condition can arise from a variety of sources, including cuts, insect bites, or other breaks in the skin that allow bacteria to enter.
In your case, it sounds like you were diagnosed with cellulitis and received surgical treatment, which has led to some improvement in the swelling and redness. However, the persistence of localized redness and elevated temperature when elevating your leg raises some important considerations.
Firstly, it is essential to understand that while the initial symptoms of cellulitis may improve with treatment, complete resolution can take time. The redness you are experiencing could be due to residual inflammation rather than an active infection. Inflammation can persist even after the infection has been treated, as the body continues to heal.
The fact that your doctor has determined that you do not need to continue antibiotics suggests that they believe the infection has been adequately addressed. However, if you are still experiencing symptoms such as localized redness and warmth, it is crucial to monitor these closely.
There are several potential reasons for your ongoing symptoms:
1. Residual Inflammation: After an infection like cellulitis, the body may still exhibit signs of inflammation as it heals. This can manifest as redness and warmth in the area, especially when you elevate your leg, which may increase blood flow to the area.

2. Incomplete Resolution: While your doctor may have assessed that the infection has resolved, there is a possibility that some bacteria remain, especially if the initial source of infection was not fully addressed. This could lead to a recurrence of symptoms.

3. Underlying Conditions: If you have any underlying conditions, such as diabetes or vascular issues, these could complicate the healing process and lead to prolonged symptoms.

4. Involvement of Deeper Structures: In rare cases, cellulitis can extend to deeper tissues, including the fascia (the connective tissue surrounding muscles). If there is concern about the infection spreading to these deeper structures, further evaluation may be necessary.

Given your symptoms, it would be advisable to follow up with your healthcare provider. They may recommend further evaluation, which could include imaging studies like an ultrasound or MRI to assess for any deeper infection or complications. Additionally, they may consider blood tests to check for signs of ongoing infection or inflammation.

In summary, while your symptoms may be concerning, they could be due to residual inflammation rather than an active infection. However, it is essential to keep an open line of communication with your healthcare provider to ensure that any potential complications are addressed promptly. If your symptoms worsen or new symptoms arise, do not hesitate to seek medical attention.

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