What is it about?

The term cellulitis is commonly used to indicate a non-necrotizing inflammation of the skin and subcutaneous tissues, usually from acute infection. Pseudomonas aeruginosa is a gram-negative bacillus that causes wide spectrum clinical infections. However, it is most frequently associated with hospital-acquired infection. We are presenting a case report of 45 years old Saudi male who presented initially with redness and hotness in the mid of right lower leg gradually increased with development of vesiculous bullae, scaling and sloughing of overlying skin. Pseudomonas aeruginosa was identified from the case, though it was not a usual suspected organism. It might be due to community-acquired infection. Patient was treated conservatively with I/V antibiotic and local hygienic methods including dressing with Vaseline(bactigrass) and topical antibiotics. Patient improved and discharged with complete resolution of cellulitis.

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Why is it important?

Objectives: • Describe the pathophysiology of community-acquired infections. • Review the laboratory tests used in the evaluation of community-acquired infections. • Summarize the management of community-acquired infections. • Outline the importance of improving care coordination among the interprofessional team to prevent transmission of infections and enhance the delivery of care for patients affected by community-acquired infections.

Perspectives

Pseudomonas aeruginosa is not a common aetiological agent of community-acquired skin and soft tissue infection with bacteremia. Its infections in community should be managed cautiously particularly in high-risk populations those are immunosuppressant. Treatment of Pseudomonas aeruginosa infection is always challenging as the organism easily acquires resistance to different classes of antibiotics.

Doctor Mahmood Ahmad Makhdoomi

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This page is a summary of: Cellulitis left lower leg secondary to Pseudomonas aeruginosa bacteremia: case of community -acquired infection, International Surgery Journal, January 2019, Medip Academy,
DOI: 10.18203/2349-2902.isj20190413.
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