In fact, this condition now most commonly occurs following surgery or in intravenous drug addicts. The condition causes a general reddening of the skin, especially on the palms of the hands, and fever and often produces diarrhea, vomiting, and confusion. A drop in blood pressure and diminished circulation to the hands and feet also may take place. Diagnosis is made by culturing the blood and vaginal secretions. Tampons should be changed frequently and intravenous drugs should be avoided.
Fever is also usually present.
Group A streptococci or S. aureus microbes enter the skin through a cut, puncture, ulcer, or sore, producing enzymes that break down the skin cells. The infected area becomes hot, red, and swollen, and patients suffer fever, chills, and a general ill feeling. In contrast to erysipelas sores, the skin eruption caused by cellulitis does not produce elevated edges. Because it tends to spread via the lymph nodes to other parts of the body, cellulitis is a serious disorder requiring prompt therapy either with penicillin or erythromycin. Since this infection enters the skin through deep puncture wounds, extreme care should be taken when working in the kitchen with sharp knives or doing home hobbies with drills and saws.