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Cellulitis

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Cellulitis

Unread postby wisconsin_cur » Thu 11 Jun 2009, 20:23:31

Cellulitis

$this->bbcode_second_pass_quote('', 'C')ellulitis is a diffuse infection of connective tissue with severe inflammation of dermal and subcutaneous layers of the skin. Cellulitis can be caused by normal skin flora or by exogenous bacteria, and often occurs where the skin has previously been broken: cracks in the skin, cuts, blisters, burns, insect bites, surgical wounds, or sites of intravenous catheter insertion. Skin on the face or lower legs are most commonly affected by this infection, though cellulitis can occur on any part of the body. The mainstay of therapy remains treatment with appropriate antibiotics.


A co-worker bought a bike last year to ride to work. He wanted to save the earth but two weeks later he was back to driving.

This year he got tired of me harassing him about the expensive bike he had purchased but did not use and how it was example of how humans are not as capable of positive change as his worldview claimed and started riding the bike again.

About the fourth day of riding a college girl opened up her car door with out looking and my friend wiped out. Nothing broken but he had a limp, we had a good laugh, he was back to driving and I forgot about it. Today he went to the doctor after showing me the softball sized lump on his shin. We all knew that it was cellulitis and that anti-biotics were in his future.

That got me thinking in a smaller world, what would be my first line of treatment?
It has a chance of becoming serious if left untreated, does anyone know the odds? Is it one of those things that we treat because we can but 99 times out of 100 would correct itself if allowed?

1. I could try a (homemade?) anti-biotic drawing salve.

2. I could try to drain and and treat the same way as #1.

3. Wait and hope that it goes away.

4. Amputate the leg at the knee if it becomes gangreen.

5. Other?
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Re: Cellulitis

Unread postby mos6507 » Thu 11 Jun 2009, 20:37:49

I don't think there is an herbal remedy for every condition, although there are certainly no shortage of claims for miracle herbal cures. So if we get to a point of collapse where you can't get antibiotics anymore, that will just be another factor driving die-off.
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Re: Cellulitis

Unread postby wisconsin_cur » Thu 11 Jun 2009, 21:17:49

No but there are treatments. Half of my co-workers, at one time or another have been diagnosised with this and been treated for it. Either it is not as serious as we sometimes take it to be or there was some kind of treatment. I am guessing that (great) grandmother Cur would have something for when this came up on the farm. I would settle for that.

"Well I guess they will just die" is for other people and statistics. If I can do one thing to move the odds in the favor of me and mine I will do it.
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Re: Cellulitis

Unread postby patience » Thu 11 Jun 2009, 22:23:05

The treatment of livestock for such things is pretty straightforward, although not too pretty. Lance to drain the infected spot, wash with disinfectant. apply povidone (gentle iodine) or gentian violet (the purple stuff that won't wash off), and soak the affected area with very warm epsom salts at least twice a day. Give supportive care. Worked on my horses and dog.

The disinfectant could be alcohol (OUCH!), and the soak could be with salt water, although painful and less effective. I guess I'd do it if I had to. And, there are herbal antibiotics, but I'll leave that for someone else to tackle. Grapefruit Seed Extract comes to mind.

Personally, I stocked up on vet supplies, epsom salts (cheap), aspirin, Tylenol, Ibuprofen, and have an herb garden and a daughter who knows how to use it. We hope that will keep our animals and us is shape. Last time I went to a doctor for actual help was when I got struck by lightning, but I wasn't very clearheaded at the time. He couldn't do anything to help, BTW, but I got some nutritional help from my son in law that did help. Point is, we are in the soup for medical help NOW, IMHO.
Last edited by patience on Thu 11 Jun 2009, 22:28:36, edited 1 time in total.
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Re: Cellulitis

Unread postby smallpoxgirl » Thu 11 Jun 2009, 22:27:24

$this->bbcode_second_pass_quote('wisconsin_cur', 'I')t has a chance of becoming serious if left untreated, does anyone know the odds?


As I recall untreated cellulitis has a mortality rate of around 60%. Quite a frightening thing. With antibiotics, the mortality rate is about 5%.

The first line treatment is good wound care to hopefully avoid getting it. Copiously irrigating the wound with chlorinated tap water, and keeping it covered with a clean dry bandage is generally sufficient. You want to avoid putting a bunch of stingy antiseptic junk on a wound. Alcohol, iodine, mercurochrome, etc are to be avoided. It's important to make sure you've removed any foreign material from the would.
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Re: Cellulitis

Unread postby patience » Thu 11 Jun 2009, 22:30:56

smallpoxgirl,

Granted the stingy stuff destroys healthy tissue. Are you saying you wouldn't use it if nothing else was available?
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Re: Cellulitis

Unread postby smallpoxgirl » Thu 11 Jun 2009, 22:55:09

$this->bbcode_second_pass_quote('patience', 'G')ranted the stingy stuff destroys healthy tissue. Are you saying you wouldn't use it if nothing else was available?


Correct. The problem is this. Healthy tissue is relatively resistant to bacteria. When you put stingy stuff on and it kills cells, now you have dead tissue in the wound. Dead tissue is a smorgasbord for bacteria. You're basically baiting bacteria into your wound. A wound needs to be kept clean and dry. Any foreign material or dead tissue needs to be scrupulously removed. Other than possibly an antibiotic, I wouldn't usually put anything else in it.
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Re: Cellulitis

Unread postby TWilliam » Thu 11 Jun 2009, 23:22:18

$this->bbcode_second_pass_quote('smallpoxgirl', 'C')orrect. The problem is this. Healthy tissue is relatively resistant to bacteria. When you put stingy stuff on and it kills cells, now you have dead tissue in the wound. Dead tissue is a smorgasbord for bacteria. You're basically baiting bacteria into your wound. A wound needs to be kept clean and dry. Any foreign material or dead tissue needs to be scrupulously removed. Other than possibly an antibiotic, I wouldn't usually put anything else in it.

Funny how times change. Merthiolate (a.k.a. thimerosal) was SOP for cuts, scratches and scrapes when I was a kid. Burned like hell, but seemed to work pretty well for preventing infection. Rhulicreme for poison ivy, a salve for chest colds that I dimly recall mom referring to as guayacol, Campho-Phenique for cold sores, bug bites and chapped noses, and an assortment of Band-Aids were pretty much it for home first aid. Wasn't much she couldn't handle with one or the other either...
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Re: Cellulitis

Unread postby jdmartin » Fri 12 Jun 2009, 00:50:48

When I was in the Navy I got a bad case of this in my finger. It started out just as sore, as if I hit it against something, then it swelled until it looked like a cartoon finger, and turned kind of whitish. Hurt like a SOB. The ship doctor stuck me with something to numb, then lanced it from the nail to the palm. Stuff exploded out of it like a grenade but damn did it feel good. Then he cleaned it up with some antiseptic, bandaged it and sent me on my way. Couple of days later it was if it had never happened.
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Re: Cellulitis

Unread postby smallpoxgirl » Fri 12 Jun 2009, 01:32:26

$this->bbcode_second_pass_quote('jdmartin', 'W')hen I was in the Navy I got a bad case of this in my finger. It started out just as sore, as if I hit it against something, then it swelled until it looked like a cartoon finger


Sounds like something called a felon. Cellulitis doesn't involve a pus pocket.
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Re: Cellulitis

Unread postby WildRose » Fri 12 Jun 2009, 03:53:42

Osteomyelitis is a complication, or progression, of cellulitis, where the bone/bone marrow becomes infected if the cellulitis is untreated. A bone scan or CT scan can detect osteomyelitis. People usually need IV antibiotics for this and sometimes surgery to remove the dead tissue.
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Re: Cellulitis

Unread postby aflatoxin » Fri 12 Jun 2009, 03:54:34

When I was 28, I got Cellulitis in my knee. I shingled a roof, and bruised up both knees. About a week later, one was better, the other one worse.

It didn't seem like that big of a deal-not that swollen, then surprise! Really swollen and sore. I went to a doc, who took a look at it, then he sent me to an Infectious Disease specialist. He also called my wife to make sure I went.

I went to the second doc, who stayed late from work to see me, and he calmly gave me two choices: IV antibiotics in the hospital, or IV antibiotics at home. There was no third choice because, according to him, I would probably be dead in less than 2 days without them.

treatment consisted of one gram of IV Keflex four times a day, up a catheter that was stuck in my arm. This went on for two weeks.

Not fun.
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Re: Cellulitis

Unread postby Grautr » Fri 12 Jun 2009, 04:34:36

$this->bbcode_second_pass_quote('smallpoxgirl', '')$this->bbcode_second_pass_quote('patience', 'G')ranted the stingy stuff destroys healthy tissue. Are you saying you wouldn't use it if nothing else was available?


Correct. The problem is this. Healthy tissue is relatively resistant to bacteria. When you put stingy stuff on and it kills cells, now you have dead tissue in the wound. Dead tissue is a smorgasbord for bacteria. You're basically baiting bacteria into your wound. A wound needs to be kept clean and dry. Any foreign material or dead tissue needs to be scrupulously removed. Other than possibly an antibiotic, I wouldn't usually put anything else in it.



what about honey? I've never tried it but I have read many herbalists who claim its a great wound dressing sometimes mixed with a herb such as comfrey.
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Re: Cellulitis

Unread postby smallpoxgirl » Fri 12 Jun 2009, 07:59:39

$this->bbcode_second_pass_quote('Grautr', 'w')hat about honey? I've never tried it but I have read many herbalists who claim its a great wound dressing sometimes mixed with a herb such as comfrey.


I've never tried it either. I might try it if I was in a pinch.
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Re: Cellulitis

Unread postby Umber » Fri 12 Jun 2009, 08:29:58

I have read that crushed garlic was used as a wound dressing because of its antibacterial properties until at least as late as the end of WWI.

I would probably also try salt water in a pinch. The thought that salt water would be of help is somehow appealing...but that's just me... Ogg, the beach dweller, way back when beaches and sea water were a lot cleaner. :)

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Re: Cellulitis

Unread postby patience » Fri 12 Jun 2009, 09:07:05

I read somewhre that the Roman army had oxcarts following it loaded with garlic and honey to treat wounds. Makes sense to me. Honey is a natural disinfectant-I read that nothing can live in it--it keeps indefinitely. Garlic is loaded with allicin (?), a natural antibiotic.
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Re: Cellulitis

Unread postby jdmartin » Fri 12 Jun 2009, 10:15:05

$this->bbcode_second_pass_quote('patience', 'I') read somewhre that the Roman army had oxcarts following it loaded with garlic and honey to treat wounds. Makes sense to me. Honey is a natural disinfectant-I read that nothing can live in it--it keeps indefinitely. Garlic is loaded with allicin (?), a natural antibiotic.


I think that's right re: honey. I read recently that they found a thing of honey that was 2,000 years old or so in some tomb, and it was still antiseptic (bacteria-free).
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Re: Cellulitis

Unread postby RedStateGreen » Fri 12 Jun 2009, 11:53:41

If I was in a situation where no antibiotics were available I would eat as much raw garlic as I could stomach, put hot compresses on the area, take anti-inflammatory meds (like ibuprofen or aspirin), elevate the area above my heart, and pray a lot.

Things like this are going to be what kills people in the future, as fewer and fewer can afford health care.
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Re: Cellulitis

Unread postby Forester » Fri 12 Jun 2009, 12:31:47

I've read a few articles about how maggots can clean wounds--apparently they consume dead or diseased tissue and leave the healthy tissue alone. It is called maggot debridement therapy and was widely used during wartime before the introduction of modern antiseptics and antibiotics. I don't know how this would apply to an internal infection that has no open wound, but if the cellulitis developed into an open infection (or could be opened by lancing, perhaps), it might be worth a shot in the absence of antibiotics. The green bottle fly is found around the world and is a good candidate for this type of therapy.
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Re: Cellulitis

Unread postby smallpoxgirl » Fri 12 Jun 2009, 14:07:38

$this->bbcode_second_pass_quote('RedStateGreen', 't')ake anti-inflammatory meds (like ibuprofen or aspirin)


This one is debatable. Obviously anti-inflammatories reduce pain, but I would stay away from them in a patient with a fever from an infection if you don't have antibiotics available. Fever is part of how the body fights infection and there's actually data that blocking fever decreases your ability to fight off the infection.
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