Skin and Soft Tissue Infections

Question 1

A patient presents with Honey colored, crusted pustules

Answer 1

Impetigo caused by B Hemolytic Streptococcus or Staphylococcus will present with these skin findings

Question 2

A patient presents with Sepsis, Cellulitis and Hemorrhagic Bullae after exposure to saltwater fish or shellfish with a history of Cirrhosis or chronic illnesses such as DM, Rheumatoid Arthritis or CKD

Answer 2

Vibrio vulnificans will present with these skin findings in these patient populations

Question 3

A patient with neutropenia presents with a skin ulcer with a necrotic center

Answer 3

Ecthyma gangrenosum from Pseudomonas or other bacterial infections will present with this skin finding

Question 4

Chronic Nodular Infection of distal extremities with exposure to fish tank or marine environments

Answer 4

Mycobacterium Marinum will present with these skin findings

Question 5

Chronic Nodular infection of distal extremities with exposure to plants/ soil

Answer 5

Sporotrichosis and Nocardia will present with these skin findings

Question 6

Sepsis following a dog bite in a patient with asplenia

Answer 6

Capnocytophagia canimorsus will present with this clinical picture

Question 7

Swelling, erythema and pain out of proportion to physical exam findings

Answer 7

Necrotizing ( deep) skin tissue infections (surgical emergency) will present with this picture

Question 8

Acute, tender, well delineated purulent lesions

Answer 8

Abscess caused by S Aureus will present with this picture

Question 9

Follicle centered pustules in the beard and pubic areas, axillae and thighs

Answer 9

Staph Aureus Folliculitis

Question 10

Follicle centered erythematous papules or pustules on the trunk, axillae and buttocks 1-4 days after hot tub or whirlpool exposure

Answer 10

Pseudomonas Folliculitis presents with these findings

Question 11

Symmetric, pink to brown patches with thin scale in intertriginous areas ( axillae/ groin, inframammary)

Answer 11

Erythasma caused by Cornybacterium minutissimum

Erythasma will fluoresce to a coral red color with a wood lamp.