Differential Diagnosis of Musculoskeletal Disorders
At risk: IV drug abuse, HIV, sickle cell disease, diabetes, peripheral vascular disease, immunocompromised, cancer, alcoholism, organ transplants
- Cellulitis
= acute infection of dermis + SQ tissue
- pain, erythema, edema, warmth
CT:
- skin thickening
- septation of SQ fat
- thickening of underlying superficial fascia
Dx: clinical assessment
DDx: heart failure - Necrotizing fasciitis
- Soft-tissue abscess
- Cause: methicillin-resistant S. aureus (MRSA, 51%)
- well-demarcated fluid collection with peripheral pseudo-capsule showing rim enhancement
- DDx: cellulitis, fasciitis (no rim enhancement)
- Infectious myositis
- Osteomyelitis
- Septic arthritis
- Septic bursitis