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Cellulitis that was NOT Cellulitis.

Authors: Aditi D, Punwani; Keyur K, Dave; Yuti, Sheth; Rahul, Shah; Tejas, Parekh;

Cellulitis that was NOT Cellulitis.

Abstract

Cellulitis is a common bacterial skin infection characterized by erythema, swelling, and pain of the affected skin and subcutaneous tissues. The lower limbs are a commonly affected area due to microtrauma and gravity-dependent stagnation of blood. We describe a case of a male patient with an extensive travel history who presented with left lower limb cellulitis, hyperbilirubinemia, and acute kidney injury. When workup for the usual causes of cellulitis did not provide a clearer picture, we had to consider the unusual. Considering his travel history, an exotic tropical zoonotic disease was considered, and an eschar was searched for. Upon further investigation, he tested positive for the Weil-Felix test and responded very well to doxycycline. Our case emphasizes the need to suspect scrub typhus in travelers, even with unusual presentations, for timely diagnosis and treatment to prevent the development of various complications and ensure earlier recovery of patients. It usually presents as an acute febrile illness, but the diagnosis is often missed due to similarities with other tropical febrile infections.

Keywords

Male, Diagnosis, Differential, Adult, Travel, Scrub Typhus, Doxycycline, Humans, Cellulitis, Middle Aged, Anti-Bacterial Agents

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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