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Cellulitis outpatient versus inpatient — ABEM Board MCQ

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ModerateInfectious disease emergenciesCellulitis outpatient versus inpatientABEM Board

A 46-year-old woman arrives with rapidly spreading leg cellulitis. Triage acuity is ESI 2; T 102.2 F, BP 94/56 mm Hg, HR 124/min. She has lymphangitis, vomiting, and acute kidney injury. No crepitus or bullae are present. Which of the following is the most appropriate disposition?

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Correct answer: AAdmit for IV antibiotics and monitoring

Systemic toxicity, vomiting, hypotension, and kidney injury with cellulitis warrant inpatient IV antibiotics and monitoring.

Reference: IDSA skin and soft tissue infection guideline