It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Infectious Diseases Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 07-13-2010, 12:17 PM   #1
Senior Member
(female)
 
Join Date: Aug 2005
Location: MD
Posts: 238
shonks5 HB User
can't get rid of cellulites!

I have been dealing with cellulites for over 3 weeks now. I am on azithromycin and omnicef for lyme. I got a couple of bug bites on each of my lower legs. Waited a few days to go in cause I thought the antibiotics that i was already on would take care of it, but it didn't. I went to doc and she said I have cellulites and added doxycycline. That took care of the one leg but not the other. So i went back to the docs was taken off of the doxy and put on levequin. It didn't help much, so went back, and am now on ceftin. Still taking the azithromycin, but not the omnicef. It's been six days now and my leg is still somewhat red, hurts, and is still warm. I have never had cellulites before, but sure thought I would be over it by now! Any suggestions, or advice would be appreciated, cause I sure don't know what to do!
Thanks,
Shonks 5

Last edited by shonks5; 07-13-2010 at 12:25 PM.

 
Old 07-15-2010, 02:57 PM   #2
Senior Veteran
(male)
 
Join Date: Jul 2008
Location: Canada
Posts: 999
harka HB Userharka HB Userharka HB Userharka HB Userharka HB Userharka HB Userharka HB Userharka HB User
Re: can't get rid of cellulites!

This is what infectious diseases doctors refer to as "keflex negative cellulitis". In other words, the fact that it's gone on this long means it's likely not an infection.

The most accurate way to diagnose a cellulitis is to actually cut out a small piece of skin and culture it in the lab or look at it under the microscope. While that is the best, it's obviously not practical to do that. Soooo, as a substitute for culturing bacteria in a skin biopsy, the second best way is to look at the skin and see if you can find effects on the skin secondary to infection being there. These are the primary signs of inflammation, and the one doctors use the most to diagnose cellulitis is redness. The pitfall of this, however, is that skin redness, if you're using it as a sign of infection, can fail you. YES, cellulitis can make the skin red, but so can a lot of other things! In fact, as you are all well aware, something as simple as a sunburn can do it.

Keeping that in mind, let's assume you actually DO have cellulitis. What are some reasons that the redness isn't going away?

1. The one family doctors often assume is that you are not treating the offending bug with the correct antibiotic. While this can sometimes happen (i.e. with cellulitis secondary to water exposure) it's usually not the case. The vast majority of cellulitis is caused by Streptococcus species which are highly susceptible to antibiotics like keflex or penicillin.

2. I'm not sure about your health history but do you have diabetes or problems with the vessels in your legs? In these cases, because the vessels are not normal. they can stay dilated and maintain the red colour long after the infection is gone. In other words, the infection is completely gone, but it takes a few extra days for the redness to go away. This is common in people who has some form of vascular insufficiency in their legs.

3. The diagnosis is not an infection at all! This does NOT sound like the case in you, but sometimes things like clots in the leg (i.e. a DVT) can present with redness in the skin which mimics cellulitis.

In any case, while cellulitis from infections tends to rapidly resolve with antibiotics, there are patients in whom it doesn't. As long as the patient is otherwise well (i.e. doesn't have a fever, still has his appetite, and is otherwise going on with life) it's advisable to just sit back, treat with a SINGLE course of antibiotics and watch/wait. Many doctors are loathe to do this because they're afraid. Having seen lots of cellulitis, more experienced physicians will stand back, watch and eventually it resolves.

 
Sponsors Lightbulb
   
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Can birth control really affect your thyroid? tigger67 Thyroid Disorders 5 07-13-2010 06:37 AM
Can the breast enhancing herbs cause breast cancer? Yuna Beauty & Cosmetics 4 11-17-2005 03:35 PM
I"m 14 with acne and mom won't take me to a dermotoligist...What can i do? lil_hale Acne 25 12-04-2004 07:01 PM
Can anyone help? emily_1990 Eating Disorder Recovery 471 06-01-2004 12:03 AM
Can teenagers suffer from panic attacks? mightymouth Panic Disorders 32 05-04-2004 04:51 AM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



harka (14), jmw63 (5), JJ (3), jake22 (2), esorb11 (2), sjb (2), jonnstar (2), MomaGin (1), Seann (1), jlsp (1)

Site Wide Totals

teteri66 (1180), MSJayhawk (1004), Apollo123 (904), Titchou (847), janewhite1 (823), Gabriel (759), ladybud (754), sammy64 (668), midwest1 (668), BlueSkies14 (610)



All times are GMT -7. The time now is 06:23 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!