title: Bilateral cellulitis.
abstract: We present a case of bilateral lesions in a 50-year-old man, which were on first impression mistaken for and initially treated as bilateral cellulitis. We propose that bilateral cellulitis, as opposed to unilateral, is rare and that other aetiologies should be considered in evaluating a patient with bilateral lesions. The differential diagnosis includes stasis-dermatitis, lipodermatosclerosis, lymphoedema and vascular lesions such as Kaposi sarcoma, as was identified in this case. Early consultation with dermatology and biopsy in unclear cases mitigates the unnecessary use of prolonged antibiotics, antibiotic resistance and Clostridium difficile infections. HIV testing is an essential screening test in all adults who present with non-specific viral symptoms and rash.
authors.affiliation: John Hopkins Community Physicians, Columbia, Maryland, USA.
authors.forename: Vivek
authors.initials: V
authors.lastname: Batra
authors.affiliation: Department of Pathology, Johns Hopkins, Baltimore, Maryland, USA.
authors.forename: Alexander
authors.initials: A
authors.lastname: Baras
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000473:pathology; D000700:Analgesics / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019380:Anti-HIV Agents / Q000627:therapeutic use; D018791:CD4 Lymphocyte Count; D002481:Cellulitis / Q000175:diagnosis* / Q000188:drug therapy; D004405:Dysentery, Bacillary / Q000188:drug therapy; D015658:HIV Infections / Q000175:diagnosis* / Q000188:drug therapy*; D015497:HIV-1; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy*; D012514:Sarcoma, Kaposi / Q000473:pathology; D012867:Skin / Q000473:pathology*; D019562:Viral Load
chemical_list: D000700:Analgesics; D000900:Anti-Bacterial Agents; D019380:Anti-HIV Agents