Clinical Features

Erysipelas and cellulitis of the face presents as a hot, bright red, tender, indurated plaque ( Fig 238-1). The area of involvement is sharply demarcated and expands peripherally. They do not clear centrally. Vesicles or bullae may be present. They may be unilateral or bilateral. When unilateral, erysipelas and cellulitis need to be distinguished from early herpes zoster infection. When bilateral, they may be mistaken for the malar eruption of systemic lupus erythematosus.

FIG. 238-1. Facial cellulitis. Erythema and edema involve the cheek, nasal bridge, and the upper and lower eyelids.

Fever and lymphadenopathy are often present. Periorbital cellulitis can be associated with orbital cellulitis and has the risk of developing an orbital abscess, cerebral abscess or meningitis.

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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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