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Cellulitis: How to treat recurrent episodes

By Mayo Clinic staff

Original Article:  http://www.mayoclinic.com/health/cellulitis/AN01418
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  • With Mayo Clinic dermatologist

    Lawrence E. Gibson, M.D.

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Question

Cellulitis: How to treat recurrent episodes

My husband has had cellulitis three times in a single year — and in three different parts of his body. What can he do to treat his cellulitis?

Answer

from Lawrence E. Gibson, M.D.

Cellulitis is a bacterial infection in the deepest layer of skin. Cellulitis develops when bacteria enter the body through a crack or cut in the skin. Sometimes cellulitis recurs.

Cellulitis is usually treated with antibiotics. It's important to take the antibiotics exactly as prescribed — including finishing the full course of antibiotics, even if signs and symptoms have already improved. To relieve discomfort associated with cellulitis, keep the affected area elevated if possible. A cool wet dressing or clean cloth applied to the affected area and ibuprofen (Advil, Motrin, others) also may help relieve pain and swelling.

To help prevent recurrent episodes of cellulitis, keep skin clean and well moisturized. Be sure to treat athlete's foot because it can allow penetration of infection-causing bacteria. Prevent cuts and scrapes by wearing appropriate clothing and footwear, using gloves when necessary, and trimming fingernails and toenails with care. Seek prompt medical attention at the first sign of a skin infection of the hands or feet.

Recurrent cellulitis can also be a sign of an immune system problem, for example diabetes. Your husband should be examined carefully to see if a source for this infection can be determined (for example, athlete's foot). You might also encourage your husband to ask his doctor about long-term antibiotic treatment. Some people who have recurrent cellulitis may benefit from long-term antibiotic treatment to prevent recurrent infections.

Next question
Cellulitis infection: Is it contagious?
References
  1. Dermatologic disorders. In: Porter RS, et al. The Merck Manual of Diagnosis and Therapy. Whitehouse Station, N.J.: Merck Sharp & Dohme Corp.; 2009. http://www.merck.com/mmpe/sec10/ch119/ch119b.html?qt=recurrent%20cellulitis&alt=sh. Accessed July 14, 2010.
  2. Saavedra A, et al. Soft-tissue infections: Erysipelas, cellulitis, gangrenous cellulitis, and myonecrosis. In: Wolff K, et al. Fitzpatrick's Dermatology in General Medicine. 7th ed. New York, N.Y.: McGraw-Hill; 2008. http://accessmedicine.com/content.aspx?aID=2995113&searchStr=cellulitis#2995113. Accessed July 14, 2010.
AN01418 Sept. 10, 2010

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