Skin infections and infestations Flashcards
which bacteria causes toxic shock syndrome in women using tampons
staph aureus
how does a staph aureus skin infection present
rash
peeling skin
impetigo (blistering skin infection, yellow crusting)
staphylococcal scalded skin syndrome (SSSS)
vomiting
diarrhoea
how can staph aureus infect the skin
via hair follicles = folliculitis
entering broken skin in eczema
how does staphylococcal scalded skin syndrome (SSSS) occur
toxin produced by staph aureus
where does staphylococcal scalded skin syndrome (SSSS) occur
face, axilla, groin
what investigations would you do if a skin infection is suspected (any skin infection)
blood cultures
swab lesion if broken
which infecting organism (and condition) is associated with yellow/honey/gold crusting
staph aureus causing impetigo
how is a staph aureus skin infection treated
flucloxacillin (topical or PO)
what is a complication of a staph aureus skin infection
toxic shock syndrome (TSS think tampons!) - causes organ failure
how does a strep pyogenes (group A strep) skin infection present
impetigo
cellulitis
necrotising fasciitis
red blistering skin
how does necrotising fasciitis present
small rash but patient is in excruciating pain
crepitations on xray
feels like bubble wrap
how is a strep pyogenes (group A strep) skin infection treated
penicillin or flucloxacillin
what is a complication of a strep pyogenes (group A strep) infection
toxic shock LIKE syndrome (TSLS) - causes organ failure
what type of infection is ringworm
fungal
what is another name for ringworm
tinea
how is ringworm transmitted
usually human to human contact
enters ‘soggy’ skin
why is it called ‘ringworm’
lesion grows outwards = ring appearance
where is tinea capitis
scalp
where is tinea barbae
beard
where is tinea corporis
body
where is tinea munuum
hand
where is tinea unguium
nail
where is tinea pedia
foot aka athletes foot
where is tinea cruris
groin
what is the treatment of all ringworm (tinea) infections
clotrimazole cream
where does a candida skin infection present
in folds of skin eg under breast, groin, nappy area
treatment of candida skin infection
clotrimazole cream, fluconazole PO
which virus causes chicken pox
varicella zoster virus
which virus causes shingles
varicella zoster virus
which age group presents with chicken pox
children
how does chicken pox present
generalised fever and rash
red macular spots
itchy
location - more dense on trunk
what is ophthalmic zoster
chicken pox when the trigeminal nerve is affected
what happens after a patient has experienced chicken pox after an exposure to varicella zoster virus
virus remains in nerve roots of spine as a latent virus (no symptoms as latent)
what is the treatment for chicken pox
no treatment, just prevention with live attenuated vaccination
what is a rare complication of chicken pox
ramsay hunt syndrome (aka optic herpes zoster) when pain in auditory canal, deafness
which age group does shingles present in
elderly (with childhood chicken pox)
how does shingles occur
varicella zoster virus reactivation
how does shingles present (+location)
dermatomal location (as the virus is only in one nerve root)
neuropathic itch (damage to CNS)
sharp pain
rash - presents later than the pain/itch/tingling
facial involvement = ophthalmic zoster (naso ciliary branch oftrigeminal nerve affected)
what is the treatment of shingles
acyclovir
what is recurrent shingles a sign of
immunocompromised, check for HIV
how can shingles be prevented
live attenuated vaccine for >70s that haven’t had shingles yet