When The Optic Nerve Is Involved
Usually CT scans would show helpful in patients with concern for CNS involvement, gross proptosis and ophthalmoplegia are present, there is no improvement or concern for progression regardless of appropriate treatment, and surgical intervention is being considered.
Cellulitis or Erysipelas as it’s additionally known as is a bacterial infection of the skin and the deep layers of tissue below the skin and the muscles that features the dermis and subcutaneous tissue.
Strazzula L, Cotliar J, et al. "Inpatient dermatology session aids diagnosis of cellulitis amongst hospitalized patients: A multi-institutional evaluation." J Am Acad Dermatol. Weng, QY, Raff AB, et al.
Cellulitis will not be contagious because it's a gentle tissue infection of the skin's deeper layers (the dermis and subcutaneous tissue), and the skin's top layer (the epidermis) provides a cowl over the infection.
7 years with preseptal or orbital cellulitis associated with orbital subperiosteal abscess, Pott's puffy tumor, concurrent sinusitis, complaints of headache, and continuing fever regardless of intravenous antibiotics.
In home therapies such as those listed above are an ideal alternative antibiotics, however, it is essential you see a doctor to ensure the cellulitis in home treatment you utilize is safe and is efficient.
For coding purposes, the acuity of the cellulitis will not be vital; it is based on the physician documentation that the condition exists (by a arms-on treating provider) and the positioning of the cellulitis.