Chapter 22: Skin Infections - Impetigo, Acne, Lyme Flashcards

1
Q

What bacteria causes impetigo? (2)

A
  • most common is Streptococcus pyogenes
  • also can be cause by S. aureus
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2
Q

How do you get impetigo?

A
  • usually requires a wound to penetrate the outer layers of skin
  • ex. cut, bite, or scratch
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3
Q

What does impetigo result in? (3)

A
  • inflammation of the epidermis
  • results in a thin-walled blister
  • blister will break to release oozing plasma
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4
Q

What happens after the blister oozes plasma in impetigo?

A
  • bacteria spread to other areas of the skin
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5
Q

how is impetigo transmitted?

A
  • direct or indirect
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6
Q

How is impetigo treated?

A

antibiotics

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7
Q

what bacteria causes acne vulgaris? (inflammatory acne)

A
  • Propionibacterium acnes
  • a member of the normal microbiota
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8
Q

How does acne vulgaris grow? (2)

A
  • grows anaerobically in hair follicles
  • eats sebum (oil secreted by skin)
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9
Q

What does acne vulgaris result in? (2)

A
  • during periods of excess sebum production, follicles can become blocked
  • P. acnes overgrows and triggers inflammation
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10
Q

How is acne vugaris treated? (3)

A
  1. antibiotics
  2. benzoyl peroxide
  3. isotretinoin (accutane) to redue sebum production
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11
Q

What are some side effects of isotretinoin? (2)

A
  • depression
  • birth defects
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12
Q

What bacteria causes lyme disease? (2)

A
  • Borella burgdorferi
  • Spirochete - tightly wound corkscrew shape
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13
Q

Who does lyme disease commonly effect?

A
  • deer and mice because they are reservoirs
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14
Q

How is lyme disease transferred to humans?

A
  • ticks because they are VECTORS
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15
Q

What are the symptoms of the first stage of lyme disease?

A
  • bullseye shaped rash appears at the bite
  • followed by fever, muscle pain and headache
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16
Q

How long does the first stage of lyme disease last?

A

up to 2 weeks

17
Q

How long does the second stage of lyme disease last?

A
  • weeks to months after infection
18
Q

What are the symptoms of the second stage of lyme disease? (3)

A
  • arthritis
  • facial paralysis
  • irregular heart rhythm
19
Q

When does the third stage of lyme disease happen?

A

months to years later

20
Q

What are the symptoms of the third stage of lyme disease? (2)

A
  • chronic arthritis
  • neurological changes (memory, mood, and sleep disturbances)
21
Q

How would you treat lyme disease?

A
  • antibiotics during the first stage ONLY
22
Q

Why would you get arthritis and neurological changes in lyme disease?

A

likely due to autoimmune response