6.4. Skin and Soft Tissue Infection - Hair Associated Infections

Question 1

What are the 3 types of Hair Associated Infections?

Answer 1

1. Folliculitis
2. Furunculosis
3. Carbuncles

Question 2

What are the 2 Types of Folliculitis?

Answer 2

1. Superficial Folliculitis

2. Deep Folliculitis

Question 3

What does Superficial Folliculitis involve?

Answer 3

Erythema and Pustule in a Single Follicle

Question 4

What does Deep Folliculitis involve?

Answer 4

Extensive Follicular Involvement

Question 5

How is Folliculitis described?

Answer 5

Circumscribed, Pustular infection of a Hair Follicle

Question 6

How large can Folliculitis be?

Answer 6

Up to 5mm Diameter

Question 7

How does Folliculitis present?

Answer 7

1. Smell Red Papules

2. Central area of Pupulence that may rupture and drain

Question 8

Where does Folliculitis commonly present?

Answer 8

1. Head
2. Back
3. Buttocks
4. Extremities

Question 9

What is the most common causative organism of Folliculitis?

Answer 9

1. Staphylococcus Aureus

Question 10

Are constitutional symptoms seen with Folliculitis?

Answer 10

No, not very often, it is a benign condition

Question 11

How is Furunculosis described?

Answer 11

Red, Tender Nodule surrounding a Follicle with 1 draining point

Question 12

What is Furunculosis commonly referred to as?

Answer 12

Boils

Question 13

How many hair follicles are associated with the inflammatory nodule?

Answer 13

1

Question 14

Where does Furunculosis extend to, in relation to layers of the skin?

Answer 14

1. Dermis

2. Subcutaneous Tissue

Question 15

Where does Furunculosis normally present?

Answer 15

Moist, hairy, friction-prone areas of the body:
1. Face
2. Axilla
3, Neck
4. Buttocks

Question 16

What may naturally happen to Furunculosis?

Answer 16

It may spontaneously drain the purulent material

Question 17

What is the most common causative organism of Furunculosis?

Answer 17

Staphylococcus Aureus

Question 18

Are Systemic Symptoms common in Furunculosis?

Answer 18

No, they are uncommon

Question 19

What are the risk factors of Furunculosis?

Answer 19

1. Obesity
2. Diabetes Mellitus
3. Atopic Dermatitis
4. Chronic Kidney Disease
5. Corticosteroid use

Question 20

How is a Carbuncle described?

Answer 20

A deep Follicular Abscess of several follicles with several draining points (Multisepates Abscess)

Question 21

When do Carbuncles occur?

Answer 21

When infection extends to involve multiple Furuncles

Question 22

Where are Carbuncles often located?

Answer 22

1. Back of the Neck
2. Posterior Trunk
3. Thigh

Question 23

How many sites can the purulent material from Carbuncles be expressed from?

Answer 23

Multiple

Question 24

Are constitutional symptoms common with Carbuncles?

Answer 24

Yes

Question 25

What is the treatment of Folliculitis?

Answer 25

1. No treatment

2. Topical Antibiotics (if necessary)

Question 26

What is the treatment of Furunculosis?

Answer 26

1. No treatment
2. Topical Antibiotics (if necessary)
3. Oral antibiotics (if severe)

Question 27

What is the treatment of Carbuncles?

Answer 27

Admission to Hospital for surgery and I.V. Antibiotics