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Clinical Manifestations and Therapeutic Management of Vulvar Cellulitis and Abscess: Methicillin-resistant Staphylococcus aureus, Necrotizing Fasciitis, Bartholin Abscess, Crohn Disease of the Vulva, Hidradenitis Suppurativa.

Abstract
Infections of the vulva can present a complex differential to the gynecologist, ranging from superficial skin infections to life-threatening necrotizing fasciitis. Recognition and timely treatment remain universal to skin and soft-tissue infections as the subcutaneous anatomy of the vulva can facilitate rapid spread to other tissues with significant morbidity and mortality. Ineffective antibiotics or deferring necessary surgical debridement have proven to be costly to the patient, and the gynecologist must maintain an appropriately high index of suspicion. Employing a multidisciplinary team approach to care for vulvar cellulitis can guide treatment from antibiotic therapies to more aggressive surgical debridement.
AuthorsSara C Wood
JournalClinical obstetrics and gynecology (Clin Obstet Gynecol) Vol. 58 Issue 3 Pg. 503-11 (Sep 2015) ISSN: 1532-5520 [Electronic] United States
PMID26125959 (Publication Type: Journal Article, Review)
Chemical References
  • Anti-Bacterial Agents
Topics
  • Abscess (diagnosis, therapy)
  • Anti-Bacterial Agents (therapeutic use)
  • Bartholin's Glands
  • Cellulitis (diagnosis, therapy)
  • Crohn Disease (diagnosis, therapy)
  • Debridement
  • Fasciitis, Necrotizing (diagnosis, therapy)
  • Female
  • Hidradenitis Suppurativa (diagnosis, therapy)
  • Humans
  • Methicillin-Resistant Staphylococcus aureus
  • Staphylococcal Infections (diagnosis, therapy)
  • Vulvar Diseases (diagnosis, therapy)

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