Cellulitis Symptoms: What It Looks Like, Feels Like, and When It Spreads

Cellulitis Symptoms: What It Looks Like, Feels Like, and When It Spreads

Cellulitis is a common but potentially serious skin infection. It happens when bacteria enter the skin through a crack, cut, insect bite, or other break. While many cases are mild and treatable, cellulitis can worsen if ignored. Understanding what cellulitis looks like, how it feels, and when it spreads can help you know when to act and when to seek medical care.

This guide uses information consistent with well‑established medical sources and clinical practice, explained in clear, everyday language.

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What Is Cellulitis?

Cellulitis is an infection of the deeper layers of the skin and the soft tissue beneath it. It is most often caused by common bacteria, such as Streptococcus or Staphylococcus, that normally live on the skin but cause problems when they get inside the body.

Cellulitis can happen anywhere, but it most commonly affects:

• The lower legs
• Feet and ankles
• Arms and hands
• Face (especially around the eyes)
• Groin or genital area

People of all ages can get cellulitis, though certain conditions increase risk (covered below).

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What Cellulitis Looks Like

One of the first signs of cellulitis is a patch of skin that looks different from the surrounding area. The appearance often changes over time.

Common visual symptoms include:

• Red or pink skin that spreads gradually
• Swelling that may feel tight or stretched
• Skin that looks shiny or glossy
• Poorly defined borders (not a neat circle or line)
• Warmth when touched compared to nearby skin
• Skin dimpling or pitting, similar to an orange peel in some cases

As cellulitis progresses, you may notice:

• Red streaks extending from the area (a sign the infection is spreading through lymph vessels)
• Blisters or fluid-filled areas
• Darkening or purplish skin in more severe cases

Cellulitis usually affects one side of the body, not both.

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What Cellulitis Feels Like

Cellulitis doesn’t just change how the skin looks—it also causes noticeable sensations.

People commonly describe cellulitis as:

• Tender or painful, especially when touched
• Warm or hot
• Tight or swollen, making movement uncomfortable
• Throbbing or aching

In some cases, general symptoms can occur, such as:

• Fatigue or feeling run-down
• Mild fever or chills
• Body aches
• Swollen lymph nodes near the infection

These whole-body symptoms suggest the immune system is actively fighting the infection and should not be ignored.

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Early vs. Worsening Cellulitis

Early Cellulitis

In the early stages, cellulitis may look like a small red area that:

• Slowly expands
• Feels warm and sore
• Appears after a cut, scrape, rash, or fungal infection

Prompt treatment at this stage often leads to a full recovery.

Worsening or Advanced Cellulitis

If cellulitis is not treated or does not respond to treatment, symptoms may escalate:

• Rapid spread of redness or swelling
• Increasing pain
• Fever above 100.4°F (38°C)
• Red streaks on the skin
• Skin breakdown or ulceration
• Confusion or dizziness (rare but serious)

This is when cellulitis can become dangerous and needs urgent medical care.

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When and How Cellulitis Spreads

Cellulitis spreads when bacteria move through the skin and into nearby tissues or the bloodstream.

It may spread:

• Outward across the skin
• Up the limb (for example, from the foot to the calf)
• Into lymph nodes
• Into the bloodstream, leading to sepsis in severe cases

Factors that increase the risk of spread include:

• Delayed treatment
• Weakened immune system
• Poor circulation
• Chronic swelling (lymphedema)
• Diabetes
• Repeated skin injuries
• Fungal infections between the toes or skin folds

Spread does not mean panic—but it does mean medical attention is urgent.

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Cellulitis in Sensitive Areas (Including the Genitals)

Cellulitis can occur in the groin or genital region, where moisture and skin friction make infections more likely. In these areas, it may be harder to tell cellulitis apart from other rashes or skin conditions.

Signs of genital cellulitis may include:

• Red, swollen skin in the groin or genital area
• Pain or tenderness
• Warmth and firmness
• Fever or feeling unwell

Because genital symptoms can have many causes, you might consider doing a free, online symptom check for Genital Rashes to better understand what may be going on before speaking with a healthcare professional.

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Who Is More Likely to Get Cellulitis?

Anyone can develop cellulitis, but risk is higher if you:

• Have diabetes
• Have eczema or chronic skin conditions
• Experience frequent swelling in the legs or arms
• Have poor circulation
• Are recovering from surgery
• Have athlete’s foot or fungal nail infections
• Have a weakened immune system

Preventing skin injuries and treating small wounds promptly can reduce risk.

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How Cellulitis Is Diagnosed

Doctors usually diagnose cellulitis based on:

• Your symptoms
• The appearance of the skin
• Your medical history

Tests are not always needed, but in certain cases a doctor may order:

• Blood tests
• Imaging (such as ultrasound)
• Cultures if there is drainage or an open wound

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How Cellulitis Is Treated

Most cases of cellulitis are treated with antibiotics, either by mouth or through an IV, depending on severity.

Treatment typically includes:

• Prescription antibiotics
• Rest and elevation of the affected area
• Pain relief if needed
• Monitoring for improvement within 24–48 hours

It’s important to:

• Take all antibiotics exactly as prescribed
• Finish the full course, even if symptoms improve
• Follow up if symptoms worsen or do not improve

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When to Speak to a Doctor Immediately

You should speak to a doctor as soon as possible if you notice signs of cellulitis, especially if any of the following apply:

• Rapidly spreading redness or swelling
• Fever or chills
• Severe pain
• Red streaks on the skin
• Numbness, tingling, or skin turning dark
• Cellulitis on the face, near the eyes, or in the genital area
• Any symptoms that could be life-threatening or serious

Early treatment can prevent complications and shorten recovery time.

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Key Takeaways

• Cellulitis is a bacterial skin infection that can worsen if untreated
• It often appears as red, warm, swollen, painful skin
• It usually affects one side of the body
• Spreading redness, fever, or worsening pain are warning signs
• Most cases are treatable with prompt medical care
• Always speak to a doctor about symptoms that may be serious or life-threatening

If you’re unsure whether your symptoms are cellulitis or something else—especially in sensitive areas—getting reliable guidance early can make a meaningful difference.