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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Medical Journal of Indonesia Journal of General Procedural Dermatology and Venereology Indonesia JOURNAL LA MEDIHEALTICO eJournal Kedokteran Indonesia Media Dermato-Venereologica Indonesiana Journal of General-Procedural Dermatology & Venereology Indonesia Bali Dermatology Venereology and Aesthetic Journal Jurnal MedScientiae Jurnal Kedokteran Meditek
Lili Legiawati
Department Of Dermatology & Venereology, Faculty Of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Journal : eJournal Kedokteran Indonesia

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Cellulitis and Bullous Erysipelas in a Geriatric Patient Hartanto, David Dwiadiputra; Rheza, Agung Mohamad; Yusharyahya, Shannaz Nadia; Legiawati, Lili; Astriningrum, Rinadewi; Sirait, Sondang P.
eJournal Kedokteran Indonesia Vol. 12 No. 2 (2024): Vol. 12 No. 2 - Agustus 2024
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.12.633.209

Abstract

Erysipelas and cellulitis are common infections of the skin. Erysipelas is a superficial infection affecting the upper layers of the skin, while cellulitis affects the deeper tissues. Bullous formation represents a severe clinical condition of erysipelas. We report a case of cellulitis concurrent with bullous erysipelas focusing on diagnostic and treatment challenges in a geriatric patient with comorbid. A 70-year-old male with a history of diabetes mellitus was admitted to the emergency department with a chief complaint of painful erythematous, warm on palpation, swelling and blistering on his right lower leg for one week. The wound culture was sterile. Cellulitis and bullous erysipelas were determined as the diagnosis. The patient was treated concurrently with intravenous ampicillin-sulbactam, as well as incision and debridement. Clinical symptoms were improved after several days of hospitalization.  Bullous erysipelas is an aggressive form of erysipelas that responds less well to therapy. Microbiological culture in erysipelas and cellulitis are negative in up to 70% of cases, including in our patient. Thus, the diagnosis was made based on clinical examination. The administration of intravenous broad-spectrum antibiotic ampicillin-sulbactam and additional incision and debridement significantly improved the patient. In conclusion this case of cellulitis and bullous erysipelas in a geriatric patient with diabetes mellitus was successfully treated with intravenous broad-spectrum antibiotic ampicillin-sulbactam and additional incision and debridement.
Co-Authors Adistri, Kara Andhira, Vega Astriningrum, Rinadewi Barros, Terlinda Batubara, Irwan Bianti, Marsha Chairista, Inadia Putri Chandrakesuma, Vivianne Endi Novianto Evita H. Effendi Fauziah, Siti Nurani Fifi Mifta Huda Gunardi, Keiko Yolanda Halim, Dionisius Ivan Yonathan Hartanto, David Dwiadiputra Hoemardani, Aida SD Huda, Fifi Mifta Imelda Wihadi Indah Widyasari Irawan, Yudo Jonlean, Reganedgary Keumala Budianti, Windy Krisanti, Roro Inge Ade Krisanti, RR Inge Ade Kusmarinah Bramono Kusumawardhani, Dina Larisa Paramitha Marizki Ramadhani, Reinanda Marsha Bianti Melody Febriana Andardewi Miranda, Eliza Muhammad, Parikesit Nadia Yusharyahya, Shannaz Nadia, Department of Dermatology and Venereology, Faculty of Medicine Universitas Indonesia – Dr. Cipto Mangunkusumo National Central General Hospital Jakarta, Indonesia Shannaz, Yusharyahya Nugraheni Pasaribu, Uly Aanda Maria Pandjaitan-Sirait, Sondang MHA Priyanto, Mufqi Handaru Rahadi Rihatmadja Rahadi Rihatmadja Reshinta, Reisa Rheza, Agung Mohamad Rinadewi Astriningrum Rosdiana, Dewi Selvina Sampurna, Adhimukti T Sandra Widaty Shannaz Nadia Yusharyahya Sirait, Sondang P. Siskawati, Yulia Siti Nurani Fauziah Sitohang, Irma Bernadette Sitohang, Irma Bernadette Simbolon Sondang P Sirait Sri Adi Sularsito Sri Adi Sularsito Sri Adi Sularsito Sri L. Menaldi Sujudi, Yufanti Suseno, Lis Surachmiati Terlinda Barros Vivianne Chandrakesuma Wahyudi, Danang T Wardani, Amanda Nandi Widyasari, Indah Wihadi, Imelda Windy Keumala Budianti Wresti Indriatmi B. Makes Yudo Irawan Yudo Irawan