Diseases of Skin and Wounds Flashcards
Abscess/Folliculitis Major Symptoms
Red, itching, burning… may drain pus, blood, or both (pimple, sty, furuncle, carbuncle)
Abscess/Folliculitis Causative Organisms
Staphylococcus Aureus Staphylococcus Epidermidis
Abscess/Folliculitis Type of Pathogen
Bacteria (Gram +)
Abscess/Folliculitis Mode of Transmission
Direct contact/fomites
Abscess/Folliculitis Key Assoications
Staph.. aureus - *More likely cause* of folliculitis; may get “Methicillin Resistant S. Aureus” MRSA Staph… epidermidis - *More predominant* on skin, but *NOT* most likely to cause folliculitis
“Hot Tub” Folliculitis Major Symptoms
small “pimples” on stomach, buttocks, arms and legs
“Hot Tub” Folliculitis Causative Organism
Pseudomonas aeruginosa
“Hot Tub” Folliculitis Type of Pathogen
Bacteria (Gram -)
“Hot Tub” Folliculitis Mode of Transmission
Using a poorly chlorinated hot tub or spa
Staphylococcal Scalded Skin Syndrome (SSSS) Major Symptoms
*Skin peels off in sheets*; Reddening of skin; begins near mouth, spreads over entire body
Staphylococcal Scalded Skin Syndrome (SSSS) Causative Organisms
Staphylococcus aureus
Staphylococcal Scalded Skin Syndrome (SSSS) Type of Pathogen
Bacteria (Gram +)
Staphylococcal Scalded Skin Syndrome (SSSS) Mode of Transmission
Direct contact/fomites
Staphylococcal Scalded Skin Syndrome (SSSS) Key Associations
Can be mistaken for child abuse
Impetigo (Pyoderma) Major Symptoms
Small, flattened red patches on face and limbs; develop into pus filled vesicles that crust (*pyoderma*)
Impetigo (Pyoderma) Causative Organisms
Staphylococcus aureus (80%)
Streptococcus pyogenes (20%)
Impetigo (Pyoderma) Type of Pathogen
Bacteria (Gram +)
Impetigo (Pyoderma) Mode of Transmission
Direct contact/fomites
Impetigo (Pyoderma) Key Associations
Most common in children
Erysipelas Major Symptoms
*Fiery red rash* with sharply defined *raised borders*
Erysipelas Causative Organisms
Streptococcus pyogenes (most cases)
Staphylococcus aureus (occasionally)
Erysipelas Type of Pathogen
Bacteria (Gram +)
Erysipelas Mode of Transmission
Direct contact/fomites
Erysipelas Key Associations
Most common in elderly, peak incidence 60-80
Necrotizing Fasciitis Major Symptoms
*Spreads along fascia*; Destruction of Muscle and fat tissue (*necrosis*), multiple organ failure
Necrotizing Fasciitis Causative Organisms
Streptococcus pyogenes
Necrotizing Fasciitis Type of Pathogen
Bacteria (Gram +)
Necrotizing Fasciitis Mode of Transmission
Person-to-Person Enters through breaks in skin
Necrotizing Fasciitis Key Associations
*aka “flesh eating bacteria”; Emerging Disease*
Acne Major Symptoms
Infection of hair follicle, sebaceous glands
Acne Causative Organism
Propionibacterium acnes
Acne Type of Pathogen
Bacteria (Gram +)
Acne Mode of Transmission
Direct contact
Acne Key Associations
Cystic acne is most severe form
Cat Scratch Disease/Fever Major Symptoms
*Bump or blister* at site of injury, *lymphadenopathy*
Cat Scratch Disease/Fever Causative Organism
Bartonella henselae
Cat Scratch Disease/Fever Type of Pathogen
Bacteria (Gram -)
Cat Scratch Disease/Fever Mode of Transmission
Cat scratches, bites, or licks
Pseudomonas Infection Major Symptoms
Fever, chills, and the production of purulent matter in infected wounds
Pseudomonas Infection Causative Organism
Pseudomonas aeruginosa
Pseudomonas Infection Type of Pathogen
Bacteria (Gram -)
Pseudomonas Infection Mode of Transmission
Opportunistic
Pseudomonas Infection Key Associations
produces a blue-green pigment called *pyocyanin*; infections of severe burns are pervasive
Rocky Mountain Spotted Fever (RMSF) Major Symptoms
*Non-itchy spotted rash* on trunk and appendages; *Including soles and palms; petechiae* Fever, headaches, chills, muscle pain, nausea, vomiting
Rocky Mountain Spotted Fever (RMSF) Causative Organism
Rickettsia ricketsii
Rocky Mountain Spotted Fever (RMSF) Type of Pathogen
Bacteria (Gram -)
Rocky Mountain Spotted Fever (RMSF) Mode of Transmission
Hard ticks vector
Rocky Mountain Spotted Fever (RMSF) Key Associations
Most severe and common Rickettsial illness
Cutaneous Anthrax Major Symptoms
Spreads to form painless, swollen, *black, crusty ulder (eschar)*; Releases anthrax into blood, producing toxemia
Cutaneous Anthrax Causative Organism
Bacillus anthracis
Cutaneous Anthrax Type of Pathogen
Bacteria (Gram +)
Cutaneous Anthrax Mode of Transmission
Direct Contact
Cutaneous Anthrax Key Associations
*Category A Bioterrorist Threat*
Gas Gangrene Major Symptoms
*Foul-smelling; gas bubbles* Intense pain; necrosis; shock, kidney failure, death
Gas Gangrene Causative Organism
Clostridium perfringens
Gas Gangrene Type of Pathogen
Bacteria (Gram +)
Gas Gangrene Mode of Transmission
Fecally contaminated soil/water – traumatic
Gas Gangrene Key Associations
*Rapid treatment is crucial*
Smallpox (aka Variola) Major Symptoms
*Pox lesions* that progress through series of stages
Smallpox (aka Variola) Causative Organism
Smallpox virus (Orthopox virus)
Smallpox (aka Variola) Type of Pathogen
DNA Virus