최근 5년간 연조직염 입원 환자에 대한 임상적 고찰

Abstract

Background: Cellulitis is an acute infection of the dermal and subcutaneous layers of the skin, which is commonlytreated by a dermatologist but there are few reports about clinical data on cellulitis in Korean literature. Objective: This study evaluated the clinical characteristics of inpatients diagnosed as cellulitis in the recent 5 years. Methods: We reviewed the medical records of 77 patients who were diagnosed as cellulitis and hospitalized at theKangbuk Samsung Hospital from March 2008 to February 2013. Results: The study included data from 77 patients with cellulitis (mean age, 51.7 years; 44 men, 33 women). Therewas a positive correlation between age and hospitalized days (p＜0.05). Cellulitis most frequently occurred in thefoot (32.1%). The most common cutaneous symptoms were erythema, tenderness, and swelling (100%), and the mostcommon systemic symptom was fever (23.4%). Tinea pedis was the most common cause of cellulitis (31.2%). Elevation of C-reactive protein (CRP) was observed in 30 patients (40%) and there were positive correlations notonly between CRP and hospitalized days (p＜0.05) but also between white blood cell (WBC) count and hospitalizeddays (p＜0.05). First-generation cephalosporin was chosen as the primary antibiotic in 33 patients (40.3%) and themean duration of antibiotic treatment was 12.4 days. There was no significant difference of hospitalized daysbetween first-generation cephalosporin and other antibiotics (p＞0.05). Systemic steroid was administered in 21patients (27.3%), and was not significantly related to hospitalized days (p＞0.05). Conclusion: The clinical course of cellulitis was inversely correlated to the elevation of patient’s age, WBC count,and CRP.