Bacterial Infections of the Skin Flashcards
1
Q
Superficial Cutaneous Infections:
A
- Erythrasma
- Pitted Keratolysis
- Intertriginous Infections
- Cellulitis
- Erysipelas
- Necrotizing Fasciitis
- Lymphagitis
2
Q
Erythrasma:
A
- Corynebacterium minutissimum
- Toes, groin, axilla
- Mimics fungal
- Wood’s Lamp shows Coral-Red fluorescence
3
Q
Pitted Keratolysis:
A
- Micrococcus sedentarius
- Keratinase released destroying keratin on feet showing pits
4
Q
Intertrigio:
A
- Non-specific inflammation of apposed skin
- More common in obese people
- Wood’s Lamp and KOH helpful to distinguish fungal vs bacterial
5
Q
Cellulitis:
A
- Staphylococcus aureus or Group A Strep
- Deep Dermis and Subcutaneous Fat
- Need to R/O DVT if on leg
6
Q
Erysipelas:
A
- Group A strep
- Variant of Cellulitis
- Affects Upper Dermis and Superficial Lymphatics
- Lymphatic involvement makes it different from cellulitis
- Legs and face
7
Q
Periorbital Cellulitis:
A
- 3x more common than orbital cellulitis
- Limited to eyelid and pre-septal region
- Maintain eye movement
- Staph or Strep in adults
- H. influenza in children
8
Q
Orbital Cellulitis:
A
- Emergency Diagnosis
- Involves muscles and fat of orbit but not eye itself
- Loss of eye movement due to inflamed muscle
- Associated with ethmoid and maxillary sinus infections
9
Q
Acute Lymphangitis:
A
- Inflammatory process involving the subcutaneous lymphatic channels
- Group A strep
- Starts from wound and red line moves from there proximally
10
Q
Pyodermas:
A
- Impetigo (Bullous and Non-Bullous)
- Acne
11
Q
Bullous Impetigo:
A
- Staphylococcus aureus or Group A Beta-Hemolytic Strep
- Exotoxin
- More common in infants and on the face
- Vesicles enlarge to form bullae, bullae collapse and form honey colored crust
12
Q
Non-bullous Impetigo:
A
- More common form
- Small vesicles rupture to form red moist base
- Nose mouth limbs
- Satellite lesions will be present
- Acute poststreptococcal glomerulonephritis association
13
Q
Dermal Layer Infections:
A
- Ecthyma
- Folliculitis
- Furuncle
- Carbuncle
- Hidradenitis Suppurativa
14
Q
Ecthyma:
A
- Ulcerative form of impetigo
- Same as impetigo except bacteria penetrate to dermal lay leaving a scar
- Distal extremities
- Can be viral from goat or sheep
15
Q
Folliculitis:
A
- Staphylococcus aureus infection of hair follicles
- Pustular lesion
- Hot Tub folliculitis -> Pseudomonas aeruginosa