Cellulitis: Does It Always Require an Open Wound? - Surgery

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Cellulitis


Is cellulitis only likely to occur if there is a wound? My father recently complained of sudden pain in his right calf, which appears red and swollen, but there is no visible wound.
The size of the redness and swelling is about 5x5 cm.
Additionally, my father has diabetes, so I did some research online.
Some sources state that a wound is a prerequisite for cellulitis, while others indicate that it can occur without a wound and that infections in other parts of the body can also lead to cellulitis.
I'm a bit confused about this.
Does cellulitis require a wound to develop? What kind of specialist should I take my father to see?

Wen Long, 30~39 year old female. Ask Date: 2017/05/08

Dr. Li Qinglong reply Surgery


Dear Mr.
Wenlong: The information you have reviewed may indicate a potential issue.
It is recommended that you seek treatment at a surgical outpatient clinic.
The Hualien Hospital of the Ministry of Health and Welfare cares about your well-being.

Reply Date: 2017/05/08

More Info


Cellulitis is a common and potentially serious bacterial skin infection that can occur even in the absence of an open wound. It typically manifests as redness, swelling, warmth, and pain in the affected area, and it can spread rapidly if not treated promptly. In your father's case, the symptoms you described—pain, redness, and swelling in the right calf—are indeed indicative of cellulitis, especially considering his underlying condition of diabetes, which can compromise the immune system and increase the risk of infections.

To clarify, while cellulitis often arises from a break in the skin, such as a cut, scrape, or insect bite, it can also develop without any visible injury. Bacteria can enter the skin through microscopic breaks or even through conditions like dry skin or fungal infections. In individuals with diabetes, even minor skin issues can lead to significant infections due to impaired healing and reduced blood flow to the extremities.

Given your father's symptoms and his diabetes, it is crucial to seek medical attention as soon as possible. A healthcare provider, preferably a primary care physician or a specialist in infectious diseases, can evaluate his condition and determine the appropriate course of action. They may perform a physical examination and possibly order blood tests or imaging studies to assess the extent of the infection and rule out other complications, such as abscess formation or deeper tissue involvement.

Treatment for cellulitis typically involves antibiotics to combat the infection. In some cases, if the infection is severe or if there is an abscess, surgical intervention may be necessary to drain the infected area. It is also essential to monitor for any signs of systemic infection, such as fever, chills, or increased pain, which would warrant immediate medical attention.

In summary, cellulitis does not always require an open wound to occur. It can develop from various factors, including underlying health conditions like diabetes. Given your father's situation, it is advisable to take him to a healthcare provider promptly to ensure he receives the appropriate diagnosis and treatment. Early intervention is key to preventing complications and promoting recovery.

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