Clinical Characteristics and Organisms Causing Erysipelas and Cellulitis.
- Author:
Yee Gyung KWAK
1
;
Nam Joong KIM
;
Sang Ho CHOI
;
Seong Ho CHOI
;
Jin Won CHUNG
;
Eun Ju CHOO
;
Kye Hyung KIM
;
Na Ra YUN
;
Shinwon LEE
;
Ki Tae KWON
;
Jae Hyun CHO
Author Information
- Publication Type:Original Article
- Keywords: Cellulitis; Erysipelas
- MeSH: Cellulitis; Communicable Diseases; Diabetes Mellitus; Erysipelas; Hospitals, General; Humans; Lower Extremity; Medical Records; Retrospective Studies; Staphylococcus aureus; Streptococcus; Streptococcus pyogenes; Vibrio
- From:Infection and Chemotherapy 2012;44(2):45-50
- CountryRepublic of Korea
- Language:Korean
- Abstract: BACKGROUND: Although erysipelas and cellulitis are common soft tissue infectious diseases, there have been a few studies which investigate clinical characteristics and causative organisms in Korea. MATERIALS AND METHODS: We retrospectively reviewed the medical records of patients who had been diagnosed with erysipelas or cellulitis from ten general hospitals between January 2009 and February 2011. RESULTS: During the study period, a total of 144 patients with erysipelas and 735 with cellulitis were recruited. The mean age of erysipelas patients was 53.6 years, and that of cellulitis patients was 47.5 years. Diabetes mellitus was the most common underlying disease in both groups. The most common site of erysipelas was the face (80.6%) and that of cellulitis was the lower extremity (64.9%). Culture studies have been done in 31.9% (46/144) of patients with erysipelas, and 41.1% (302/735) with cellulites. Causative organisms were identified in 3 patients (2.1%) with erysipelas and 57 (7.8%) with cellulitis. Streptococcus pyogenes was isolated from two patients with erysipelas, and group G streptococcus from one. Staphylococcus aureus (44.0%) was the most common isolate in patients with cellulitis, followed by streptococci (27.1%), Enteobateriaceae (11.9%), and Vibrio species (6.8%). First-generation cephalosporin was the most commonly used antimicrobial agent in both groups. CONCLUSIONS: beta-hemolytic streptococcus and S. aureus were the most common causative organisms of patients with erysipelas and cellulitis.
