Cellulitis Mimics in the Geriatric Patient

Blake, Amy; Cruzval-O’Reilly, Estefanía; Sayed, Christopher

doi:10.1007/s13670-020-00334-6

Cited by 3 publications

(6 citation statements)

References 51 publications

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“…Therefore, nurses needed to differentiate between cellulitis and pseudo-cellulitis and their associated risk factors for patients in ICUs. The current findings were in line with Blake et al (2020) who reported that the chief risk factor was previous history of cellulitis, with other prominent factors such as obesity, venous deficiency, and diabetes. Each addition 10 years of age are associated with increased incidence of cellulitis up to 43%.…”

Section: Discussionsupporting

confidence: 92%

“…Several studies including Cutfield et al (2019), Ortiz-Lazo et al (2019, and Blake et al (2020) discussed the rates of cellulitis in different settings. Blake et al (2020) indicated that early diagnosis of cellulitis in older patients is critical because they had a higher risk of hospital-associated complications and a higher risk of recurring cellulitis following a hospital readmission. Li et al (2018) reported that those patients who were early diagnosed with pseudo cellulitis had a shorter hospitalization period.…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors Associated with Occurrence of Cellulitis in Critically Ill Patients with Fulminant Hepatic Failure

Elsayed,

Elbana

2022

Menoufia Nursing Journal

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Background: Cellulitis is the one of common infectious cause of limb swelling that should be distinguished from the other skin inflammation. One of the most common of infection disease in liver cirrhosis that occurs in 10.5-12.5% and lead to high morbidity and mortality that may require hospital readmissions for quick diagnosis and effective treatment. Design: A descriptive study design was used. Setting(s): This study was recruited in the intensive care units at Damanhour Medical National institute hospital. Participants: A convenience sample of 80 newly admitted patients diagnosed with an acute liver failure were included herein. Tool of data collection: One tool included in this study and consisted of three parts. Cellulitis risk factors structured assessment tool used to assess the critically hepatic patients' risk factors for development of cellulites. Results: On the first and second days of the study, almost 55% of the patients were grade II, and on the third day, 55% were grade IV. The study group's Dundee classification cellulitis showed a significant relationship with the patients' sex (p = 0.043), length of time spent in the intensive care unit (p = 0.012), history of cardiovascular disease, prior cellulitis, and chronic venous insufficiency (p = 0.032). The oldest patients, those over 65, also showed a significant relationship between the increase in severity of Dundee classification cellulitis on the third day (p = 0.05). Conclusions: The risk factors linked to an increase in the severity of cellulitis may be divided into local and general variables, such as changes in the circulation in the lower limbs and skin conditions. Recommendations: Early identification for high-risk groups for cellulitis on acute live failure patients and early prevention can reduce risk for recurrent attack. Skin and foot care protocols should be educated and used for caring those patients.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Risk Factors Associated with Occurrence of Cellulitis in Critically Ill Patients with Fulminant Hepatic Failure

Elsayed,

Elbana

2022

Menoufia Nursing Journal

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“…Cellulitis frequently affects older adults, with incidence increasing by 43% with every additional decade of age [3]. Geriatric patients who are correctly diagnosed with pseudo-cellulitis are 86% less likely to experience complications of treatment [12].…”

Section: Discussionmentioning

confidence: 99%

“…Patients may present with fevers and chills lasting weeks, and lab results may be nonspecific for inflammatory or infectious etiologies [2]. Cellulitis is a much more common cause of inflammation caused by a break in the skin barrier resulting in bacterial infection of the skin's subcutaneous and deep dermis layers [3]. Systemic involvement is also present, and patients may have leukocytosis, elevated C-reactive protein levels, and increased erythrocyte sedimentation rate [2].…”

Section: Introductionmentioning

confidence: 99%

Confusion With Presentations of Calcium Pyrophosphate Dihydrate Disease: A Report of Two Cases Mistaken for Cellulitis

Rana¹,

Raza²,

Arif³

et al. 2023

Cureus

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Both pseudogout and cellulitis are diseases that may mimic one another in clinical practice. We discuss two cases of acute calcium pyrophosphate dihydrate (CPPD) arthritis mistaken for cellulitis in the emergency department. Both patients experienced significant improvement after management was changed to treat CPPD. These cases highlight how it is essential for physicians to consider CPPD as a differential diagnosis for a patient that is presenting with signs of inflammation in any joint.

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“…Cellulitis is a bacterial infection of dermal and subcutaneous tissue that disrupts the skin barrier [ 53 , 54 ]. Patients with cellulitis often have inflammatory signs that mimic those seen in CVI, including skin warmth, erythema, edema, and pain.…”

Section: Reviewmentioning

confidence: 99%

Chronic Venous Insufficiency With Emphasis on the Geriatric Population

Mayrovitz¹,

Aoki²,

Colón³

2023

Cureus

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The underpinning of Chronic Venous Insufficiency (CVI) is valvular dysfunction, which manifests on a spectrum depending on the severity of insufficiency and duration of the disease. The mainstay of treatment relies on compression therapy of a proper type and intensity. In older adults, special consideration must be taken during the patient encounter to account for age-related factors. This review discusses the clinical presentation, diagnosis, and mimicking of CVI, focusing mainly on older adults. The epidemiology, risk factors, disease burden, and grave complications -such as thrombosis and ulceration, are reviewed. The physiological impacts of CVI are described, providing the background for treatment strategies, including non-invasive, medical, and surgical therapies. The findings show advanced age to be an important risk factor contributing to CVI and that other age-related factors add to the risk of severe complications. Clinical assessments combined with objective measurements that assess localized skin water using tissue dielectric constant values or whole limb assessments may aid in the differential diagnosis. Furthermore, understanding the mechanism of action of compression therapy, the mainstay of CVI treatment, and its physiological impacts, allows for its informed use in geriatric patients with increased risks of potential compression-related side effects.

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Cellulitis Mimics in the Geriatric Patient

Cited by 3 publications

References 51 publications

Risk Factors Associated with Occurrence of Cellulitis in Critically Ill Patients with Fulminant Hepatic Failure

Risk Factors Associated with Occurrence of Cellulitis in Critically Ill Patients with Fulminant Hepatic Failure

Confusion With Presentations of Calcium Pyrophosphate Dihydrate Disease: A Report of Two Cases Mistaken for Cellulitis

Chronic Venous Insufficiency With Emphasis on the Geriatric Population

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