Bilateral Lower Limbs Cellulitis: A Narrative Review of an Overlooked Clinical Dilemma

Abstract

Yu-Chuan Chuang,1 Po-Yu Liu,2– 4 Kuo-Lung Lai,5,* Chien-Hao Tseng2,* 1Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan; 2Division of Infectious Disease, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan; 3Rong Hsing Research Center for Translational Medicine, National Chung Hsing University, Taichung, Taiwan; 4Ph.D. Program in Translational Medicine, National Chung Hsing University, Taichung, Taiwan; 5Division of Allergy, Immunology and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan*These authors contributed equally to this workCorrespondence: Chien-Hao Tseng, Division of Infectious Disease, Department of Internal Medicine, Taichung Veterans General Hospital, No. 1650, Sec. 4, Taiwan Blvd., Xitun Dist, Taichung City, 407219, Taiwan, Tel [phone] Extension 3081, Email [email protected]: Bilateral lower limbs cellulitis is a rare clinical condition, which has been overlooked for a long time. In daily clinical practice, bilateral cellulitis is a sporadically encountered condition; however, it remains a clinical challenge. There is a broad differential diagnosis for this clinical entity, and there is a lack of accepted international diagnostic criteria. Unnecessary antibiotic prescription is common, which has led to an emerging problem. In this review, we summarize case reports of bilateral lower limbs cellulitis and common pathogens that have been documented.Keywords: cellulitis, bilateral, legs, lower limbs, lower extremities

Keywords

• cellulitis
• bilateral
• legs
• lower limbs
• lower extremities