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Original Articles
Clinical Characteristics and Organisms Causing Erysipelas and Cellulitis
Yee Gyung Kwak1, Nam Joong Kim2, Sang-Ho Choi3, Seong-Ho Choi4, Jin-Won Chung4, Eun Ju Choo5, Kye-Hyung Kim6, Na Ra Yun7, Shinwon Lee8, Ki Tae Kwon8, and Jae-Hyun Cho9
1Department of Internal Medicine, Inje University Col¬lege of Medicine, Busan; 2Department of Internal Medi¬cine, Seoul National University College of Medicine, Seoul; 3Department of Internal Medicine, University of Ulsan College of Medicine, Seoul; 4Department of Inter¬nal Medicine, Chung-Ang University College of Medi¬cine, Seoul; 5Department of Internal Medicine, Soon¬chunhyang University School of Medicine, Bucheon; 6Department of Internal Medicine, Pusan National Uni¬versity School of Medicine, Busan; 7Department of In¬ternal Medicine, Chosun University School of Medicine, Gwangju; 8Division of Infectious Diseases, Daegu Fatima Hospital, Daegu; 9Department of Internal Medicine, Na¬tional Police Hospital, Seoul, Korea
Vol.44 Num.2 (p45~50)
Background: Although erysipelas and cellulitis are common soft tissue infectious diseases, there have been a few studies which investigate clinical characteristics and causative organisms in Korea.
Materials and Methods: We retrospectively reviewed the medical records of patients who had been diagnosed with erysipelas or cellulitis from ten general hospitals between January 2009 and February 2011.
Results: During the study period, a total of 144 patients with erysipelas and 735 with cellulitis were recruited. The mean age of erysipelas patients was 53.6 years, and that of cellulitis patients was 47.5 years. Diabetes mellitus was the most common underlying disease in both groups. The most common site of erysipelas was the face (80.6%) and that of cellulitis was the lower extremity (64.9%). Culture studies have been done in 31.9% (46/144) of patients with erysipelas, and 41.1% (302/735) with cellulites. Causative organisms were identified in 3 patients (2.1%) with erysipelas and 57 (7.8%) with cellulitis. Streptococcus pyogenes was isolated from two patients with erysipelas, and group G streptococcus from one. Staphylococcus aureus (44.0%) was the most common isolate in patients with cellulitis, followed by streptococci (27.1%), Enteobateriaceae (11.9%), and Vibrio species (6.8%). First-generation cephalosporin was the most commonly used antimicrobial agent in both groups.
Conclusions: ?-hemolytic streptococcus and S. aureus were the most common causative organisms of patients with erysipelas and cellulitis
Keywords : Cellulitis, Erysipelas