On the morning of July 21, heavy downpour in Fangshan County of Beijing caused flood in short period. The Beijing heavy rain of July 21, 2012 caused water in underground drainage system to spill onto the street.
Many vehicles were submerged in the flood near South Lishui Bridge of Beijing on July 21, 2012. The deep water under Anli Overpass in Beijing made it impossible for vehicles to go through. Three men tried to push their inundated automobile through the deep water under a bridge near the Beijing West Train Station. The puddles in Lishui Bridge in Beijing was so deep that many cars were submerged and not able to drive away. Many cars were inundated in the flood near Beiyuanjiayuan Residential Complex in Chaoyang District of Beijing on July 21, 2012. A foreign man tried to swim across the street through the waist-deep water at the gate of a residential complex in Chaoyang District. Two people were killed and six others injured as strong winds and heavy rain toppled rooftops and levelled the buildings in two villages in the city's suburban Tongzhou district. Flights were cancelled or delayed in Beijing Capital International Airport due to the heavy rain on July 21, 2012 in Beijing. The flood under the Guangqumen in center Beijing proper looked like a sea on July 21 in Beijing, in which five automobiles were completely submerged in the 4-meter deep water. A netizen said his car was judged as breaking traffic rules by city traffic police after being trapped in the flood for one night. Used carefully, some over the counter (OTC) creams may help alleviate dry skin in and around the ears.
Dry skin in the ears can be caused by many different factors, including too much wax within the ears, or not enough because they are cleaned more often than they should be. If the skin problem is caused by an outside factor, such as the weather, common lotions can be used. If home remedies and over-the-counter salves do not work, then a medical provider should be consulted. My dad has very dry ears and I put baby oil in his ears and Vaseline, but it has not made a very big difference. I don't have dry skin inside my ear (at least I don't think I do), but I have very dry, flaky skin on my ears. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. While some Chinese netizens mock the disaster by saying 'Go to Beijing to see the sea', others question the quality of the underground drainage system.
The heaviest rain in 60 years that lashed Beijing Saturday have left at least 10 people dead. Outside sources, such as a change in weather or humidity, can also cause dryness or cause it to become worse. This can either be a hereditary issue, or it can be because the ears are being cleaned too often. Various different medical conditions can cause dry skin in the ears, and if basic remedies do not work, then it is likely that there may be another problem. I met with few doctors who told me it's either from showering too much or overusing q-tips.
Antiperspirant is supposed to keep my armpits dry but it dried up more than my armpits I guess.
If it hurts and you can't do anything at all (and I don't recommend this) use a bandage against the dry skin and pull it off. I really wish I did not have to put this stuff in his ears almost every day, but they just won't heal up. You should see a dermatologist because you might need to take medications, either oral or topical. I know that eczema is associated with dry skin and the flaking is a symptom of it. I use regular body moisturizer but it doesn't seem to help. I was going to try petroleum jelly but I heard that petroleum jelly only works if the skin is hydrated on its own. I try to wash them carefully every day and put a bit of medicated moisturizer on them as well. A small tube is inserted through the incised eardrum in order to dry out the middle ear and prevent the fluid from re-accumulating.
A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions.
Sunday, as many as 30,000 residents in districts of Fangshan, Huairou, Mentougou and Pinggu as well as Miyun and Yanqing counties were relocated.The rain Saturday night knocked down trees in Beijing and trapped cars and buses in waist-deep water in some areas. The heavy rain that began to thrash the city around 10 am on Saturday inundated roads, making some impassable, and severely disrupted air traffic. This cellulitis was caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). There are various ways to treat this problem, including using medication that can be purchased over the counter or by prescription, and trying home remedies that have been shown to work in some cases.
The natural oils, as well as the ear wax, keep the area moist and prevent the ears from drying out.
Of course, these products should not be placed into the canal, but used to remove the dryness along the inner and outer portions of the ear. They recommended I do not use q-tips and use fine layer of moisturizer in and around my ears. It might also be a result of a fungal skin infection. Once you figure out what the issue is, you can decide what needs to be done.
I also wash my hair every day. Then, I use a clean towel to cover my pillow case, so that I'm not sleeping on something that might transfer some bacteria onto my ears. It's very difficult to completely clear the ear canal once something has gone inside there and oil in particular makes it a breeding ground for bacteria and can lead to an ear infection.
No matter what the cause, basic steps can be taken that will usually eliminate the dryness.
If dry skin appears because of one of these two factors, either olive or another vegetable oil can be put into the ears with a small dropper or syringe. If these basic solutions do not work, then stronger over-the-counter medications can be used that contain chemicals designed to relieve dryness and add moisture to the skin. I found out many people have dry ears when I was researching the cause for mine but then again many people also use antiperspirant.


I have acne on my face and I think the olive oil might get on my neck and face and aggravate my acne. What should I do? Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. July 22, Beijing authority reported 37 residents were dead, among whom 25 drowned, 6 were stoned to death by collapsed buildings, 1 was strucked by lightning, 5 died of electric shock from fallen electric wires in waters. If not, a medical professional will need to be consulted in order to isolate the problem and obtain a working solution.
Rub the ear after the oil has been inserted into the canal, and then wipe the excess off from around the are to prevent it from building up on the outer portions and the surrounding skin and hair. The dryness has almost disappeared and the itchy, stinging sensations have been lessened to such a degree that I hardly notice them. I would only try to treat the skin on the pinna (the outer part of the ear) and none of the internal skin. That temporarily reduced it but it keeps coming back if I don't use the cream for a few days.
Any duplication or distribution of the information contained herein is strictly prohibited. Cellulitis has been classically considered to be an infection without formation of abscess (nonpurulent), purulent drainage, or ulceration. At times, cellulitis may overlap with other conditions, so that the macular erythema coexists with nodules, areas of ulceration, and frank abscess formation (purulent cellulitis) (see Presentation). The following images illustrate some of these presentations.Mild cellulitis with a fine lacelike pattern of erythema. This lesion was only slightly warm and caused minimal pain, which is typical for the initial presentation of mild cellulitis. The toll was not being posted publicly, but some online accounts said the number was more than 300. In a situation with hand cellulitis, always rule out deep infection by imaging studies or by obtaining surgical consultation.
Sunday, the largest since weather records began in 1951, making the July 21 Beijing downpour the heaviest rain in 6 decades, said Guo Wenli, director of the climate center under the Beijing Meteorological Bureau. The larger lesion is a second-degree burn (left), and the smaller lesion is a first-degree burn (right), each with an expanding zone of erythema consistent with cellulitis. Streptococcal species are the most common causes of erysipelas and diffuse cellulitis or nonpurulent cellulitis that is not associated with a defined portal.[2] S aureus is the usual causative organism in purulent cellulitis associated with furuncles, carbuncles, or abscesses. In some cases, there is no obvious portal of entry and the breach may be due to microscopic changes in the skin or invasive qualities of certain bacteria. Organisms on the skin and its appendages gain entrance to the dermis and multiply to cause cellulitis. In rare cases, cellulitis results from the metastatic seeding of an organism from a distant focus of infection, especially in immunocompromised individuals. Distant seeding is particularly common in cellulitis due to S pneumoniae (pneumococcus) and marine VibrioA species. The elderly and individuals with diabetes mellitus are at risk for more severe disease.[20] In addition, patients with diabetes, immunodeficiency, cancer, venous stasis, chronic liver disease, peripheral arterial disease, and chronic kidney disease appear to be at higher risk for recurrent infection because of an altered host immune response. Immunogenetic factors may play a role in some families who have an underlying susceptibility to an infection progressing to cellulitis.
Group B Streptococcus cellulitis occurs in infants younger than 6 months, because their immune responses are not fully developed, and it may also be seen in adults with comorbidities such as diabetes or liver disease.
For infantile cellulitis, presentations may include sepsis.[24] Historically, facial cellulitis in children was frequently associated with H influenzae type B and S pneumoniae, but this is now generally considered a rarity because of routine H influenza e type B and pneumococcal vaccines. However, a study of 500,000 pediatric hospitalizations demonstrated that, although bacterial meningitis and epiglottitis diminished as a result of immunization for H influenzae type B and S pneumoniae, the incidence of facial cellulitis was unaffected.[25] Nonetheless, another study noted that 96% of the serotypes that cause facial cellulitis were included in the heptavalent-conjugated pneumococcal vaccine that was routinely used at the time of the study. Immunocompromised hosts may become infected from nontraditional cellulitis organisms, including gram-negative rods (eg, Pseudomonas, Proteus, Serratia, Enterobacter, Citrobacter), anaerobes, and others (eg, Helicobacter cinaedi, Fusarium species). Although fungi (eg, Cryptococcus) and herpes simplex virus may also cause cellulitis, these causes are rare.Pneumococci may cause a particularly malignant form of cellulitis that is frequently associated with tissue necrosis, suppuration, and bloodstream invasion.
In contradistinction to the usual bacterial cellulitis, these presentations often range from subacute to chronic and are typically unresponsive to short courses of antibioticsa€”which should then prompt further investigation. Recurrent staphylococcal cellulitis may occur in otherwise immunologically normal patients with nasal carriage of staphylococci and those with Job syndrome. Hospital-acquired infectionsVarious hospital-acquired infections following soft-tissue trauma may lead to cellulitis. It is unusual to have infection occur in areas around surgical wounds less than 24 hours postoperatively, but if there is such a clinical problem, group A beta-hemolytic Streptococcus [GABHS] or Clostridium perfringens (which produces gas that may be appreciated as crepitus on examination) is the usually cause. VaricellaCellulitis can complicate varicella and may be identified by larger margins of erythema surrounding the vesicles. One study identified patients with invasive GAS cellulitis complicating varicella.[35] The median onset of GAS infection was day 4 of varicella, with fever, vomiting, and localized swelling reported.
Untreated cellulitis in association with varicella may progress to severe necrotizing soft-tissue infections requiring surgical intervention.[36] MRSAAlthough cellulitis can be complicated by abscess formation, it typically develops from an abscessogenic focus. However, in recent years, isolates of S aureus have been found in patients without risk factors for nosocomial disease.[39] These isolates, which mostly maintain susceptibility to antibiotics such as trimethoprim-sulfamethoxazole or tetracycline, have been termed CA-MRSA to distinguish them from the previously identified hospital or health-care-associated MRSA (HA-MRSA).
Cultures in cellulitis are difficult to perform and frequently do not yield positive results; therefore, these tests are rarely done clinically. Consequently, the results of these studies cannot be generalized to cellulitis without abscess formation. Studies are under way to determine the incidence of S aureus a€”in particular, CA-MRSA in soft-tissue infection in which there is no identifiable abscess. However, until results of those studies are available, treatment decisions must be made on clinical grounds. Because treatment failures after empiric treatment may often occur, because of the emergence of resistantstrains,microbiologicinvestigations are strongly recommended.
Bite wounds, lacerations, and puncture woundsMammalian bite wounds represent a specific subset of cellulitis with unique pathogens. There is no statistically significant difference in the incidence of cellulitis in men and women,[45] and no age predilection is usually described. When outpatient therapy is unsuccessful, or for patients who require admission initially, IV antibiotics are usually effective. Cellulitis may progress to serious illness by uncontrolled contiguous spread, including via the lymphatic or circulatory systems.
They may take over-the-counter (OTC) pain medication such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) for pain, if approved by their physician.


Patients with an underlying genetic condition, such as an immunodeficiency disease, are also at especially high risk for minor skin infections to progress to cellulitis.
Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of america. The effect of soft-tissue ultrasound on the management of cellulitis in the emergency department. The utility of blood cultures in the management of non-facial cellulitis appears to be low. The optimum use of needle aspiration in the bacteriologic diagnosis of cellulitis in adults.
Severe soft tissue infections of the extremities in patients admitted to an intensive care unit. Nurse-led management of uncomplicated cellulitis in the community: evaluation of a protocol incorporating intravenous ceftriaxone. Chronic dermatomycoses of the foot as risk factors for acute bacterial cellulitis of the leg: a case-control study. Clinical and molecular characteristics of invasive and noninvasive skin and soft tissue infections caused by group A Streptococcus. Immunization against Haemophilus influenzae type B fails to prevent orbital and facial cellulitis: results of a 25-year study among military children. Mycobacterium kansasii infection presenting as cellulitis in a patient with systemic lupus erythematosus. Staphylococcus aureus infections in injection drug users: risk factors and prevention strategies. Group A streptococcal infections in injection drug users in Barcelona, Spain: epidemiologic, clinical, and microbiologic analysis of 3 clusters of cases from 2000 to 2003. Association of athlete's foot with cellulitis of the lower extremities: diagnostic value of bacterial cultures of ipsilateral interdigital space samples. Invasive group A streptococcal infections in children with varicella in Southern California.
Four Pediatric Deaths from Community-Acquired Methicillin-Resistant Staphylococcus aureus -- Minnesota and North Dakota, 1997-1999. Community-associated methicillin-resistant Staphylococcus aureus prevalence: how common is it?
Management of extremity trauma and related infections occurring in the aquatic environment.
Nonfoodborne Vibrio infections: an important cause of morbidity and mortality in the United States, 1997-2006. Incidence of lower-extremity cellulitis: a population-based study in Olmsted county, Minnesota. Dermatologic conditions of the ill returned traveler: an analysis from the GeoSentinel Surveillance Network. Skin, soft tissue, bone, and joint infections in hospitalized patients: epidemiology and microbiological, clinical, and economic outcomes.
National trends in ambulatory visits and antibiotic prescribing for skin and soft-tissue infections. Severe community-onset pneumonia in healthy adults caused by methicillin-resistant Staphylococcus aureus carrying the Panton-Valentine leukocidin genes. Erysipelas and cellulitis: clinical and microbiological spectrum in an Italian tertiary care hospital.
Decreased Antibiotic Utilization After Implementation of a Guideline for Inpatient Cellulitis and Cutaneous Abscess. Clinical practice guidelines by the Infectious Diseases Society of America for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children. 2012 Infectious Diseases Society of America Clinical Practice Guideline for the Diagnosis and Treatment of Diabetic Foot Infections. Prospective randomized trial of empiric therapy with trimethoprim-sulfamethoxazole or doxycycline for outpatient skin and soft tissue infections in an area of high prevalence of methicillin-resistant Staphylococcus aureus.
Skin and soft-tissue infections caused by community-acquired methicillin-resistant Staphylococcus aureus.
Daptomycin versus vancomycin for complicated skin and skin structure infections: clinical and economic outcomes. Effectiveness and duration of daptomycin therapy in resolving clinical symptoms in the treatment of complicated skin and skin structure infections. Comparison of short-course (5 days) and standard (10 days) treatment for uncomplicated cellulitis. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections.
Emergence of community-acquired methicillin-resistant Staphylococcus aureus USA 300 clone as the predominant cause of skin and soft-tissue infections.
Risk factors for clinical failure in patients hospitalized with cellulitis and cutaneous abscess. Impact of infectious diseases specialists and microbiological data on the appropriateness of antimicrobial therapy for bacteremia. Vibrio vulnificus infection in Taiwan: report of 28 cases and review of clinical manifestations and treatment.
Bacteremic cellulitis caused by Non-01, Non-0139 Vibrio cholerae: report of a case in a patient with hemochromatosis. FDA Drug Safety Communication: Serious CNS reactions possible when linezolid (ZyvoxA®) is given to patients taking certain psychiatric medications.
Avoidable antibiotic exposure for uncomplicated skin and soft tissue infections in the ambulatory care setting.
Decreased antibiotic utilization after implementation of a guideline for inpatient cellulitis and cutaneous abscess. A male patient with orbital cellulitis with proptosis, ophthalmoplegia, and edema and erythema of the eyelids. This image shows deeper subcutaneous tissue involved in a case of cellulitis, with acute inflammatory cells and fat necrosis. This image shows cellulitis caused by herpes simplex virus, with the multinucleated organism in the center of the picture.



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