Cellulitis, Pediatric

<bold>FIGURE 64-1</bold> <bold>Cellulitis of the toe.</bold> The infection began adjacent to the nail as a paronychia but spread proximally to involve the shaft of the toe as cellulitis.

FIG. 11.34. Orbital cellulitis. This young girl has erythema and edema in the periorbital area (A), which could be caused by either orbital or periorbital infection. However, she has limitation of the extraocular muscles, which characterizes orbital cellulitis, as shown when she is staring straight ahead (B) and gazing upward (C). D: A computed tomography scan of the orbits demonstrates a mass lesion along the medial wall of the orbit in a child with ethmoid sinusitis and orbital infection....

FIG. 11.36. Cellulitis of the knee. Cellulitis in this patient developed at the site of a minor wound (A). The child was presented with fever and lymphangitic streaking (B).

FIG. 11.38. Cellulitis of the hand. When this patient arrived at the emergency department, he had developed cellulitis, or wound infection, of the hand after the repair of a laceration that was secondary to a dog bite. In many cases, bite wounds of the extremities are not managed with primary closure because of the risk of infection, particularly with Pasteurella multocida. His sutures were removed to allow drainage he received and treatment with intravenous antibiotics.

FIG. 22.40. A: This 12-year-old girl had been bitten by her dog and later hospitalized for cellulitis that improved on intravenous antimicrobials. B: When the infection recurred, a radiograph was obtained that showed a fracture from the initial dog bite. The patient was treated for osteomyelitis, and the infection resolved.

FIG. 22.40. A: This 12-year-old girl had been bitten by her dog and later hospitalized for cellulitis that improved on intravenous antimicrobials. B: When the infection recurred, a radiograph was obtained that showed a fracture from the initial dog bite. The patient was treated for osteomyelitis, and the infection resolved.

<bold><italic>Figure 14.28.</bold> A.</bold> Cellulitis. <bold>B.</bold> Erysipelas in a patient with Down syndrome.

FIG. 11.36. Cellulitis of the knee. Cellulitis in this patient developed at the site of a minor wound (A). The child was presented with fever and lymphangitic streaking (B).