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Infectious Diseases

Celulitis

10/30/1998 11:31AM

Question:

What is celulitis and what causes it? My daughter had it twice and had to be hospitalized both times. Is she more likely to get it again now that shes already had it?

Answer:

I'm sure you understand that I am unable to answer any particular questions specifically about your daughter, since I am not able to examine her or have access to her complete medical record. The person best able to address these very particular questions is, of course, your daughter's physician.

Having said this, cellulitis is an infection of the skin and soft tissue -- usually with bacteria, although sometimes fungi or mycobacteria can also cause this. The bacteria that most commonly cause cellulitis are Staphylococcus aureas and Streptococcus pyogenes (staph and strep). Cellulitis in persons with various immune disorders or medical conditons can be due to other bacteria.

Children with recurrent bouts of cellulitis may have an underlying congenital or genetic conditon that predisposes them to such infections. Job's Syndrome (Hyperimmunoglobulin E Syndrome) is seen mostly in females and in addition to Staph. aureas skin infections is associated with allergic disorders (asthma, eczema, rhinitis), nail infections and problems with candidiasis (thrush, etc). Chronic Granulomatous Disease in also an inherited disease that can involve recurrent bouts of cellulitis in addition to problems with candidiasis, pneumonia, swollen tender lymph nodes and bone infections.

Persons who have had more than one episode of cellulitis do seem to be more susceptible to recuurences. In the vast majority, however, no clear underlying cause or inherited factor is found.

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Response by:

University of Cincinnati Kenneth Skahan, MD
Assistant Professor in Infectious Diseases
Division of Infectious Diseases
Department of Internal Medicine
College of Medicine
University of Cincinnati
Kenneth   Skahan, MD