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KMID : 1144320120440020045
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2012 Volume.44 No. 2 p.45 ~ p.50
Clinical Characteristics and Organisms Causing Erysipelas and Cellulitis
Kwak Yee-Gyung

Kim Nam-Joong
Choi Sang-Ho
Choi Seong-Ho
Chung Jin-Won
Choo Eun-Ju
Kim Kye-Hyung
Yoon Na-Ra
Lee Shin-Won
Kwon Ki-Tae
Cho Jae-Hyun
Abstract
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: ¥â-hemolytic streptococcus and S. aureus were the most common causative organisms of patients with erysipelas and cellulitis
KEYWORD
Cellulitis, Erysipelas
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