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Dermatology · Bacterial infections: recurrent cellulitis
Sample itemA man has had three episodes of cellulitis of the same leg in one year, with chronic lymphoedema and tinea pedis. Which measure reduces recurrence?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Treating tinea pedis and lymphoedema, with penicillin prophylaxis
Cellulitis recurs through portals of entry such as fissured tinea pedis and impaired lymphatic drainage. Treating these factors, compression therapy, and long-term low-dose penicillin (such as monthly benzathine penicillin) lower recurrence.
Option by option
A. Annual antifungal injection
There is no annual antifungal injection for this purpose.
B. Avoiding all compression stockings
Compression is useful for lymphoedema and venous disease.
C. Treating tinea pedis and lymphoedema, with penicillin prophylaxis (correct)
Correct. Removing predisposing factors and using prophylaxis reduce recurrence.
D. Long-term oral steroids
Steroids impair host defence.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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