Bilateral Lower Extremity Cellulitis

A with CHF presents with shortness of breath & redness/swelling of both legs. He is afebrile & WBC is normal.

Does he need antibiotics for bilateral lower extremity cellulitis?

A. Yes IV antibiotics 💉
B. Yes PO antibiotics 💊
C. No antibiotics 🚫

How did others respond?

Reveal the answer

Best Answer:

No antibiotics 🚫

Explanation: Bilateral cellulitis 🦵🦵 is rare, and may be confused with other diagnoses such as:
-stasis or contact dermatitis
-lymphedema
-eosinophilic cellulitis
-lipodermatosclerosis

Bilateral cellulitis 🦵🦵 may be MORE likely with:
-local trauma
-fever + ⬆️ WBC
-rapid onset
-immunosuppression