The gift that keeps on giving.
Identifieur interne : 003B66 ( PubMed/Corpus ); précédent : 003B65; suivant : 003B67The gift that keeps on giving.
Auteurs : Steven D. Burdette ; Jack M. BernsteinSource :
- Skinmed [ 1540-9740 ]
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents.
- complications : Lymphedema, Venous Insufficiency.
- drug therapy : Cellulitis.
- etiology : Cellulitis.
- prevention & control : Cellulitis.
- Adult, Chronic Disease, Humans, Lower Extremity, Male, Middle Aged, Recurrence.
Abstract
Case 1: A 39-year-old man with chronic lower extremity lymphedema was admitted to the hospital with acute fever, chills, and left lower extremity pain, swelling, and erythema for the third time in as many months. Examination revealed a temperature of 39 degrees C (102.2 degrees F), and erythmatous induration on the left leg (Figure). The patient was treated with IV clindamycin and cefazolin, with clinical improvement. He was discharged with azithromycin, 500 mg daily for 3 days, done twice monthly. Case 2: A 52-year-old morbidly obese man with stasis dermatitis presented with acute lower extremity pain, swelling, and associated fever. He had been taking prophylactic antibiotics for his recurrent cellulitis for more than a decade and had significantly decreased his number of reoccurrences while on this therapy. He was admitted to the hospital, treated with IV cefazolin, and had a rapid improvement over 48 hours. He was subsequently discharged with continued suppressive antibiotic therapy.
PubMed: 16276158
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pubmed:16276158Le document en format XML
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<author><name sortKey="Burdette, Steven D" sort="Burdette, Steven D" uniqKey="Burdette S" first="Steven D" last="Burdette">Steven D. Burdette</name>
<affiliation><nlm:affiliation>Division of Infectious Disease, Department of Medicine, Wright State University School of Medicine, Dayton, OH 45428, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bernstein, Jack M" sort="Bernstein, Jack M" uniqKey="Bernstein J" first="Jack M" last="Bernstein">Jack M. Bernstein</name>
</author>
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<date when="????"><PubDate><MedlineDate>2005 Nov-Dec</MedlineDate>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The gift that keeps on giving.</title>
<author><name sortKey="Burdette, Steven D" sort="Burdette, Steven D" uniqKey="Burdette S" first="Steven D" last="Burdette">Steven D. Burdette</name>
<affiliation><nlm:affiliation>Division of Infectious Disease, Department of Medicine, Wright State University School of Medicine, Dayton, OH 45428, USA.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Bernstein, Jack M" sort="Bernstein, Jack M" uniqKey="Bernstein J" first="Jack M" last="Bernstein">Jack M. Bernstein</name>
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<series><title level="j">Skinmed</title>
<idno type="ISSN">1540-9740</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Anti-Bacterial Agents (therapeutic use)</term>
<term>Cellulitis (drug therapy)</term>
<term>Cellulitis (etiology)</term>
<term>Cellulitis (prevention & control)</term>
<term>Chronic Disease</term>
<term>Humans</term>
<term>Lower Extremity</term>
<term>Lymphedema (complications)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Recurrence</term>
<term>Venous Insufficiency (complications)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Bacterial Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphedema</term>
<term>Venous Insufficiency</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Cellulitis</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cellulitis</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Cellulitis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Chronic Disease</term>
<term>Humans</term>
<term>Lower Extremity</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Recurrence</term>
</keywords>
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<front><div type="abstract" xml:lang="en">Case 1: A 39-year-old man with chronic lower extremity lymphedema was admitted to the hospital with acute fever, chills, and left lower extremity pain, swelling, and erythema for the third time in as many months. Examination revealed a temperature of 39 degrees C (102.2 degrees F), and erythmatous induration on the left leg (Figure). The patient was treated with IV clindamycin and cefazolin, with clinical improvement. He was discharged with azithromycin, 500 mg daily for 3 days, done twice monthly. Case 2: A 52-year-old morbidly obese man with stasis dermatitis presented with acute lower extremity pain, swelling, and associated fever. He had been taking prophylactic antibiotics for his recurrent cellulitis for more than a decade and had significantly decreased his number of reoccurrences while on this therapy. He was admitted to the hospital, treated with IV cefazolin, and had a rapid improvement over 48 hours. He was subsequently discharged with continued suppressive antibiotic therapy.</div>
</front>
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<DateCreated><Year>2005</Year>
<Month>11</Month>
<Day>08</Day>
</DateCreated>
<DateCompleted><Year>2006</Year>
<Month>03</Month>
<Day>03</Day>
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<DateRevised><Year>2005</Year>
<Month>11</Month>
<Day>08</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">1540-9740</ISSN>
<JournalIssue CitedMedium="Print"><Volume>4</Volume>
<Issue>6</Issue>
<PubDate><MedlineDate>2005 Nov-Dec</MedlineDate>
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</JournalIssue>
<Title>Skinmed</Title>
<ISOAbbreviation>Skinmed</ISOAbbreviation>
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<ArticleTitle>The gift that keeps on giving.</ArticleTitle>
<Pagination><MedlinePgn>381-4</MedlinePgn>
</Pagination>
<Abstract><AbstractText>Case 1: A 39-year-old man with chronic lower extremity lymphedema was admitted to the hospital with acute fever, chills, and left lower extremity pain, swelling, and erythema for the third time in as many months. Examination revealed a temperature of 39 degrees C (102.2 degrees F), and erythmatous induration on the left leg (Figure). The patient was treated with IV clindamycin and cefazolin, with clinical improvement. He was discharged with azithromycin, 500 mg daily for 3 days, done twice monthly. Case 2: A 52-year-old morbidly obese man with stasis dermatitis presented with acute lower extremity pain, swelling, and associated fever. He had been taking prophylactic antibiotics for his recurrent cellulitis for more than a decade and had significantly decreased his number of reoccurrences while on this therapy. He was admitted to the hospital, treated with IV cefazolin, and had a rapid improvement over 48 hours. He was subsequently discharged with continued suppressive antibiotic therapy.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Burdette</LastName>
<ForeName>Steven D</ForeName>
<Initials>SD</Initials>
<AffiliationInfo><Affiliation>Division of Infectious Disease, Department of Medicine, Wright State University School of Medicine, Dayton, OH 45428, USA.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Bernstein</LastName>
<ForeName>Jack M</ForeName>
<Initials>JM</Initials>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
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<NlmUniqueID>101168327</NlmUniqueID>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D000900" MajorTopicYN="N">Anti-Bacterial Agents</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002481" MajorTopicYN="N">Cellulitis</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
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<MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014689" MajorTopicYN="N">Venous Insufficiency</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
</MeshHeading>
</MeshHeadingList>
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