{"id":54,"date":"2023-03-21T13:13:16","date_gmt":"2023-03-21T13:13:16","guid":{"rendered":"https:\/\/www.merckconnect.com\/sivextro\/?page_id=54"},"modified":"2025-09-08T10:49:16","modified_gmt":"2025-09-08T10:49:16","slug":"absssi-cellulitis-sunburn","status":"publish","type":"page","link":"https:\/\/www.merckconnect.com\/sivextro\/absssi-cellulitis-sunburn\/","title":{"rendered":"ABSSSI &#8211; Cellulitis &#8211; Severe Sunburn"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckconnect.com\/sivextro\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1765535927' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"aa8a34325-1015-4d25-8ec8-99b7c01a620e\"><h1 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h1FontSizeDesktop);--tabletFontSize:var(--h1FontSizeDesktop);--mobileFontSize:var(--h1FontSizeMobile);--desktopLineHeightSize:var(--h1LineHeightDesktop);--tabletLineHeightSize:var(--h1LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Acute Bacterial Skin and Skin Structure Infections (ABSSSI) Cellulitis: Severe Sunburn<\/strong><\/h1><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-top is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:15%\"><link rel='stylesheet' id='vivid360-image-css-css' href='https:\/\/www.merckconnect.com\/sivextro\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/image\/css\/style.min.css?ver=1765535927' media='all' \/>\n\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image aligncenter size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/sivextro\/wp-content\/uploads\/sites\/85\/2024\/07\/sivextro-patient-profile-lilly.png?w=130\" alt=\"Profile of a Patient With ABSSSI (Cellulitis From a Severe Sunburn)\" class=\"wp-image-1336  style-noshadow deskHeightAuto  \" width=\"180\" style=\"height:132px;width:180px\"\/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/sivextro\/wp-content\/uploads\/sites\/85\/2024\/07\/sivextro-patient-profile-lilly.png?w=130\" alt=\"\" class=\"wp-image-1336  style-noshadow mobile-image   \" width=\"130\" height=\"132\" title=\"\" style=\"height:132px;width:130px\"\/><\/figure><\/div><\/div>\n\n\n\n<p class=\"has-text-align-center has-small-font-size\"><em>Not an actual patient<\/em><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:85%\"><link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckconnect.com\/sivextro\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1765535928' media='all' \/>\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n\n<p>Lilly is a 37-year-old female nurse who developed severe sunburn. This led to broken skin, which became infected just above her right shoulder blade on the back. She noticed redness, swelling, and area felt warm to the touch, so she suspected possible infection.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-top is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:15%\">\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default aligncenter size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/www.merckconnect.com\/sivextro\/wp-content\/uploads\/sites\/85\/2024\/07\/sivextro-lilly-clinical-examination-v2@2x.png?w=332\" alt=\"Severe Sunburn Above Right Shoulder Blade on the Back\" class=\"wp-image-1335  style-noshadow deskHeightAuto  \" width=\"332\" style=\"height:332px;width:332px\" srcset=\"https:\/\/www.merckconnect.com\/sivextro\/wp-content\/uploads\/sites\/85\/2024\/07\/sivextro-lilly-clinical-examination-v2@2x.png 332w, https:\/\/www.merckconnect.com\/sivextro\/wp-content\/uploads\/sites\/85\/2024\/07\/sivextro-lilly-clinical-examination-v2@2x.png?resize=150,150 150w, https:\/\/www.merckconnect.com\/sivextro\/wp-content\/uploads\/sites\/85\/2024\/07\/sivextro-lilly-clinical-examination-v2@2x.png?resize=300,300 300w\" sizes=\"(max-width: 332px) 100vw, 332px\" \/><\/figure><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:85%\">\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a2d5fb284-db7f-4969-98af-a09c198da55b\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Reported signs and symptoms:<\/strong><\/h2><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-css-css' href='https:\/\/www.merckconnect.com\/sivextro\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list\/css\/style.min.css?ver=1765535927' media='all' \/>\n\n<div class=\"vivid-block-list content-width  default-list block-e00acb8e-4001-4c4c-889c-bf9a36923484\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-e00acb8e-4001-4c4c-889c-bf9a36923484\"><ul class=\"first-level\"><li>Above right shoulder blade on her back: pain that wouldn\u2019t subside, burning sensation, and local increase in temperature<\/li><\/ul><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a50a0d841-417f-440b-b831-7ad423a11f57\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Clinical examination:<\/strong><\/h2><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-0572d87a-101c-4640-8b6f-dd4f066b5d58\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-0572d87a-101c-4640-8b6f-dd4f066b5d58\"><ul class=\"first-level\"><li>BMI of 20.0 kg\/m<sup>2<\/sup><\/li><li>Vital Signs: Temp: 98.0\u00b0F; RR: 17 RPM; HR: 110 BPM;<br>BP: 110\/70 mm Hg<\/li><li>On her back:<sup>~<\/sup>100 cm<sup>2<\/sup> patch of erythematous, tender, warm skin<\/li><li>Some swelling, with no drainage<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a69855247-0bed-4c6d-b3c7-33d5f4257e9b\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Lab results:<\/strong><\/h2><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-0f6856b3-af38-4bd4-82c2-f4560d99f7a8\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-0f6856b3-af38-4bd4-82c2-f4560d99f7a8\"><ul class=\"first-level\"><li>WBC: 11,000 x 10<sup>3<\/sup> cells\/mL<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_fd94c136-2cb0-46e7-825c-0b54a2c3949e \" id=\"\"><p style=\"font-size:24px\"><strong>Diagnosis:<\/strong> ABSSSI (cellulitis)<\/p><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a6d2442c5-041f-4696-a5ad-a26f242c1672\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Other medical factors:<\/strong><\/h2><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-ad6566f7-8f42-4a00-a697-645dcfa4aa59\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-ad6566f7-8f42-4a00-a697-645dcfa4aa59\"><ul class=\"first-level\"><li>None<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a4cdaabbb-1370-4774-974f-de323e997165\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Next steps:<\/strong><\/h2><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-e8e52716-6ec7-4f83-bcab-0d0a4439ee2a\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-e8e52716-6ec7-4f83-bcab-0d0a4439ee2a\"><ul class=\"first-level\"><li>Initiate empiric antimicrobial therapy<\/li><\/ul><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a8d24ea40-0413-4ff4-aabf-7f4795d9a2ee\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>Patients like Lilly may be considered an appropriate candidate for SIVEXTRO<\/strong><\/h2><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Not an actual patient Lilly is a 37-year-old female nurse who developed severe sunburn. This led to broken skin, which became infected&#8230;<\/p>\n","protected":false},"author":665,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[267],"ga4_page_businessunit":[272],"ga4_page_campaign":[],"ga4_page_content_purpose":[287],"ga4_page_customer_journey_stage":[333],"ga4_page_customer_specialty":[351],"ga4_page_experience":[],"ga4_page_indication":[403],"ga4_page_material_intent":[530],"ga4_page_product":[697],"ga4_page_region":[845],"ga4_page_therapeuticarea":[869],"user_role":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"class_list":["post-54","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Example Case for ABSSSI Cellulitis: Severe Sunburn<\/title>\n<meta name=\"description\" content=\"Severe cases of sunburn may lead to broken skin and infection; use this patient profile to identify infection and help determine a treatment plan.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.merckconnect.com\/sivextro\/absssi-cellulitis-sunburn\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Example Case for ABSSSI Cellulitis: Severe Sunburn\" \/>\n<meta property=\"og:description\" content=\"Severe cases of sunburn may lead to broken skin and infection; use this patient profile to identify infection and help determine a treatment plan.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.merckconnect.com\/sivextro\/absssi-cellulitis-sunburn\/\" \/>\n<meta property=\"og:site_name\" content=\"Sivextro\" \/>\n<meta property=\"article:modified_time\" content=\"2025-09-08T10:49:16+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.merckconnect.com\/sivextro\/wp-content\/uploads\/sites\/85\/2024\/07\/sivextro-patient-profile-lilly.png?w=130\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Example Case for ABSSSI Cellulitis: Severe Sunburn","description":"Severe cases of sunburn may lead to broken skin and infection; 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