Case Report, A 74-year-old female with cellulitis ET causa abscess (Cruris, Dorsum, And Tarsal) dextra

Cellulitis is an inflammation of the subcutaneous tissue often caused by infection with Staphylococcus aureus and Streptococcus bacteria A 74-year-old woman with complaints of pain and swelling of the right leg, accompanied by weakness and rapid breathing (Kussmaul), was diagnosed with cellulitis cruris, dorsum, and tarsal dextra. The patient had a history of uncontrolled type 2 diabetes mellitus, as well as complications such as acute kidney injury and hypokalemia. Physical examination showed edema, redness, tenderness, and warmth in the affected area. Laboratory examination indicated severe infection, iron deficiency anemia, and kidney damage. Management included debridement to remove necrotic tissue, combined antibiotic therapy (ampicillin and metronidazole) and postoperative care. This report highlights the association of diabetes mellitus with increased risk and severity of cellulitis, and the importance of a collaborative approach in managing comorbidities.

The patient underwent debridement to remove dead tissue, followed by post-operative care and combination antibiotic therapy (ampicillin and metronidazole). Results showed significant clinical improvement after 5 days of treatment. This case emphasizes the importance of early treatment and multidisciplinary collaboration to prevent serious complications in patients with comorbidities such as diabetes mellitus.