Oct. 16, 2023

The Red Hot Painful Swollen Foot (16 Oct 2023)

The Red Hot Painful Swollen Foot (16 Oct 2023)

Dr Jonathan Bardgett discusses how to manage patients with a red hot painful swollen foot with Dr Callum Mutch.

This week Dr Jonathan Bardgett discusses how to manage patients with a red hot painful swollen foot with Dr Callum Mutch. Jonathan and Callum discuss diagnostics, treatment and examples of different case presentations.


Dr Mutch is an infection doctor working in Edinburgh with his time split between the microbiology lab and the infectious diseases ward. He has recently undertaken a medical education fellowship focusing on Simulation Based Mastery Learning and Digital Education. Outside of work he is the co-host of the Infectious Diseases Insight of Two Specialists (ID:IOTS) podcast.


Disclaimer: Please always refer to the most up-to-date local antimicrobial guidelines


Useful links

NICE guideline [NG141]: Cellulitis and erysipelas: antimicrobial prescribing

Sullivan T, de Barra E. Diagnosis and management of cellulitis. Clin Med (Lond). 2018; 18(2): 160-163. doi: 10.7861/clinmedicine.18-2-160

MicroGuide app: Apple App Store  / Google Play Store

NHS Scotland Antimicrobial Companion app

Brad Spellberg - Shorter is better

NG141 Summary of the Evidence on Antibiotic prophylaxis for the prevention of recurrent cellulitis and erysipelas

Differentials: Lipodermatosclerosis (NICE CKS), Deep Vein Thrombosis (DVT) (NICE Guideline NG158)

Fernando SM, et al. Necrotizing Soft Tissue Infection: Diagnostic Accuracy of Physical Examination, Imaging, and LRINEC Score: A Systematic Review and Meta-Analysis. Ann Surg. 2019; 269(1): 58-65. doi: 10.1097/sla.0000000000002774

Infectious diseases content on Education Portal

ID:IOTS podcast - Skin and soft tissue infection episode; Necrotising fasciitis episode


Recording date: 28 June 2023


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