A 56-year-old woman presents with an erythematous, hot, tender lower leg with clear margin and no abscess. She is systemically well with temperature 3...

Question

A 56-year-old woman presents with an erythematous, hot, tender lower leg with clear margin and no abscess. She is systemically well with temperature 37.8°C and normal observations. There are no signs of necrotising fasciitis. What is the most appropriate initial management?

Accepted Answer

Oral Flucloxacillin as an outpatient

Answer

Immediate broad-spectrum intravenous antibiotics and surgical debridement

Answer

Topical steroid cream only

Answer

No treatment; observe with safety-netting

Answer

High-dose oral Prednisolone

uk-plab-1 MCQ (SBA): Cellulitis management

A 56-year-old woman presents with an erythematous, hot, tender lower leg with clear margin and no abscess. She is systemically well with temperature 37.8°C and normal observations. There are no signs of necrotising fasciitis. What is the most appropriate initial management?