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Year : 2022  |  Volume : 6  |  Issue : 1  |  Page : 22-25

Extensive facial cellulitis due to staphylococcal infection in young, immune-competent females

Department of ENT, Head and Neck Surgery, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India

Correspondence Address:
Dr. Pookamala Sathasivam
Department of ENT, Head and Neck Surgery, Velammal Medical College Hospital and Research Institute, Madurai - 625 009, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aiao.aiao_5_22

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Skin and soft-tissue infections are commonly caused by Staphylococcus and Streptococcal infections. They usually cause self-limiting localized infection and responds well to antibiotic therapy. At times, they can cause dreadful infections in unfavorable conditions. Here, we discuss two cases of extensive Staphylococcal infections in healthy females. Both patients, presented with diffuse swelling of the entire half of the face. It was associated with fever, peri-orbital swelling, and swelling of upper/lower lips with multiple areas of subcutaneous pus collection. It started as a painful lesion over the cheek, which started spreading because of repeated probing of the lesion by the patients. Pus culture yielded heavy growth of Staphylococcus. In view of the massive upper airway edema, they required tracheostomy to secure airway. They were treated with intravenous antibiotics, and incision and drainage were done to relieve pus collections. They showed a dramatic response to treatment and they did not develop further complications. This article highlights the danger associated with the probing of infective lesions over the face. Young females often have a tendency to pinch acne or any other lesions over the face due to cosmetic concerns. It is essential to educate patients about the risks associated with such habits.

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