Dermo-Hipodermites Bacterianas Agudas Não Necrotizantes: Erisipela e Celulite Infeciosa

Rodrigues, Maria Alexandra; Caetano, Mónica; Amorim, Isabel; Selores, Manuela

Publication

Dermo-Hipodermites Bacterianas Agudas Não Necrotizantes: Erisipela e Celulite Infeciosa

2021-03Journal article

dc.contributor.author	Rodrigues, Maria Alexandra
dc.contributor.author	Caetano, Mónica
dc.contributor.author	Amorim, Isabel
dc.contributor.author	Selores, Manuela
dc.date.accessioned	2023-10-10T11:10:41Z
dc.date.available	2023-10-10T11:10:41Z
dc.date.issued	2021-03
dc.description.abstract	As dermo-hipodermites bacterianas agudas não necrotizantes são processos infeciosos que incluem a erisipela e a celulite infeciosa, e são geralmente causadas por estreptococos β–hemolíticos do grupo A. Em mais de 80% dos casos situam-se nos membros inferiores e são fatores predisponentes a existência de solução de continuidade na pele, o linfedema crónico e a obesidade. O seu diagnóstico é essencialmente clínico e o quadro típico baseia-se na presença de placa inflamatória associada a febre, linfangite, adenopatia e leucocitose. Os exames bacteriológicos têm baixa sensibilidade ou positividade tardia. Nos casos atípicos é importante o diagnóstico diferencial com a fasceíte necrotizante e a trombose venosa profunda. A flucloxacilina ou a cefradina são os fármacos de primeira linha. A recidiva constitui a complicação mais frequente, sendo fundamental o correto tratamento dos fatores de risco.	pt_PT
dc.description.abstract	Non-necrotizing acute dermo-hypodermal infections are infectious processes that include erysipela and infectious cellulitis, and are mainly caused by group A β-haemolytic streptococcus. The lower limbs are affected in more than 80% of cases and the risk factors are disruption of cutaneous barrier, lymphoedema and obesity. Diagnosis is clinical and in a typical setting we observe an acute inflammatory plaque with fever, lymphangitis, adenopathy and leucocytosis. Bacteriology is usually not helpful because of low sensitivity or delayed positivity. In case of atypical presentations, erysipela must be distinguished from necrotizing fasciitis and acute vein thrombosis. Flucloxacillin and cefradine remain the first line of treatment. Recurrence is the main complication, so correct treatment of the risk factors is crucial.	pt_PT
dc.description.version	info:eu-repo/semantics/publishedVersion	pt_PT
dc.identifier.citation	Rodrigues MA, Caetano M, Amorim I, Selores M. Dermo-Hipodermites Bacterianas Agudas Não Necrotizantes: Erisipela e Celulite Infeciosa [Non-Necrotizing Acute Dermo-Hypodermal Infections: Erysipela and Infectious Cellulitis]. Acta Med Port. 2021;34(3):217-228. doi:10.20344/amp.12642	pt_PT
dc.identifier.doi	10.20344/amp.12642	pt_PT
dc.identifier.issn	0870-399X
dc.identifier.issn	1646-0758
dc.identifier.uri	http://hdl.handle.net/10400.16/2790
dc.language.iso	por	pt_PT
dc.peerreviewed	yes	pt_PT
dc.publisher	Centro Editor Livreiro da Ordem dos Médicos	pt_PT
dc.relation.publisherversion	https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12642	pt_PT
dc.rights.uri	http://creativecommons.org/licenses/by-nc/4.0/	pt_PT
dc.subject	Cellulitis/diagnosis	pt_PT
dc.subject	Cellulitis/prevention and control	pt_PT
dc.subject	Cellulitis/therapy	pt_PT
dc.subject	Erysipelas/diagnosis	pt_PT
dc.subject	Erysipelas/prevention and control	pt_PT
dc.subject	Erysipelas/therapy Soft Tissue Infections/diagnosis	pt_PT
dc.subject	Soft Tissue Infections/therapy	pt_PT
dc.title	Dermo-Hipodermites Bacterianas Agudas Não Necrotizantes: Erisipela e Celulite Infeciosa	pt_PT
dc.title.alternative	Non-Necrotizing Acute Dermo-Hypodermal Infections: Erysipela and Infectious Cellulitis	pt_PT
dc.type	journal article
dspace.entity.type	Publication
oaire.citation.conferencePlace	Portugal	pt_PT
oaire.citation.endPage	228	pt_PT
oaire.citation.issue	3	pt_PT
oaire.citation.startPage	217	pt_PT
oaire.citation.title	Acta Médica Portuguesa	pt_PT
oaire.citation.volume	34	pt_PT
person.familyName	Rodrigues
person.givenName	Maria Alexandra
person.identifier.orcid	0000-0003-0675-0307
rcaap.rights	openAccess	pt_PT
rcaap.type	article	pt_PT
relation.isAuthorOfPublication	50bf2d53-2bf8-4304-92be-339f4befb093
relation.isAuthorOfPublication.latestForDiscovery	50bf2d53-2bf8-4304-92be-339f4befb093