Cellulitis + necrotising fasciitis Flashcards
1
Q
which layer
A
deep subcut layer (dermis)
2
Q
which bacteria?
A
streptococcus usually
rarely staph
sometimes community acquired MRSA
3
Q
which area usually affected?
A
lower leg upward
4
Q
presentation
A
unwell with high temp
hot, sometimes tender merging erythema of the skin
5
Q
tests
A
serological confirmation of infection
examine web spaces of toes for evidence of fungal infection
6
Q
Tx
A
phenoxymethylpenicillin (or erythromycin) and flucloxacillin
7
Q
Tx if recurrent?
A
low lose antibiotic prophylaxis
8
Q
examples of an obvious portal of entry
A
recent abrasion or a venous leg ulcer