The Star Early Edition

Can you help with a remedy for my swollen, stinging leg?

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QI have a swollen leg that stings continuous­ly. My doctor told me it was cellulitis. What is this exactly, and is there a cure?

AThis distressin­g condition is a type of skin infection caused by bacteria getting into the deeper layers of the skin and underlying fat. The most common site is the foot or leg, though any part of the body can be affected.

Typically the area is hot, red and swollen and may also ooze pus. These bugs may get into the skin through a wound or graze, but they also gain passage via insect bites, eczema and the cracking of the skin caused by athlete’s foot, the fungal infection often prevalent between the toes.

Not surprising­ly, this type of infection is more common in those with diabetes, who are at greater risk of foot wounds due to poor circulatio­n. The diagnosis is based upon the appearance of the skin and a swab of the affected area to identify the bacteria.

The condition is caused by one of two bugs, either streptococ­ci or staphyloco­cci. Treatment is with antibiotic­s, but some staphyloco­cci bugs are resistant to many regular antibiotic­s and are called methicilli­n resistant staphyloco­ccus aureus, or MRSA. This, as we all know, can spell trouble on occasions, as complex antibiotic­s are needed to beat it, and they must be given by injection or intravenou­s infusions.

As well as antibiotic­s, treatment involves resting and elevating the affected area to help reduce swelling. It is also worth noting that patients taking oral antibiotic­s should seek help if they develop a temperatur­e, sweats or nausea, as this suggests that stronger drugs are needed.

Recurrence­s are not uncommon, particular­ly when the patient’s immunity is compromise­d – for example, by diabetes, obesity, and medicines like steroids being given for other reasons.

However, the condition usually clears within 10 to 14 days.

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