Cellulitis is a suppurative inflammation involving subcutaneous tissue, caused most

frequently by S. pyogenes or S. aureus. Usually, but not always, this follows some
discernible wound. On the leg tinea pedis is the most common portal of entry. Mild
local erythema and tenderness, malaise and chilly sensations or a sudden chill and
fever may be present at the onset. The rythema rapidly becomes intense and
spreads. The area becomes infiltrated and pits on pressure. Sometimes the central
part become nodular and surmounted by a vesicle that ruptures and discharges pus
and necrotic material. Streaks of lymphangitis may spread from the area to the
neighboring lymph glands. Gangrene, metastatic abscesses, and grave sepsis may
follow. These complication are unusual in immunocompetent adults, but children