Cellulitis

Also called Skin infection or Erysipelas

Cellulitis is an infection of the deeper layers of the skin and the tissue underneath, usually on the legs. The skin becomes red or darker, hot, swollen and painful. It is caused by bacteria entering through a break in the skin, such as a cut, bite, ulcer or cracked skin from athlete's foot, and needs antibiotics.

Last updated Nov 9, 2026

What it is

It is more likely with leg swelling, lymphoedema, diabetes, being overweight and skin conditions. Treating the cause of broken skin helps prevent it coming back.

Most people get better with antibiotic tablets. Some need antibiotics through a drip in hospital.

Common signs

  • An area of skin that is red or darker, hot, swollen and painful
  • Redness that spreads
  • Blisters
  • Fever, shivering and feeling unwell

How it is usually diagnosed

  • Diagnosed by examining the skin
  • Blood tests or swabs if it is severe or does not improve
  • Marking the edge of the redness to see if it spreads

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Dates of each episode and the antibiotics used
  • Swab and blood test results
  • Photos of the affected area
  • Hospital discharge summaries, if admitted

Questions to ask your doctor

  • What let the infection in, and how can I prevent it coming back?
  • What should I do if the redness keeps spreading?
  • Do I need preventive antibiotics?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Fever with fast breathing, confusion, cold blotchy skin or feeling very unwell, which may be sepsis: call 112
  • Cellulitis around the eye

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources