skin infections and infestations basics Flashcards
things caused by staphylococcus aureus
impetigo folliculitis cellulitis ecthyma staohylococcal scalded skin syndrome superinfections of other skin diseases e.g leg ulcers, atopic eczema
conditions caused by streptococcus pyogenes
impetigo cellulitis ecthyma eysipelas scarlet fever necrotising fasciitis superinfects other skin diseases e.g leg ulcers
PVL toxin - panton valentine leukocidin
s.aureus toxin
pore forming, painful, multi site, recurrent and present in contact
painful
necrotising fasciitis, pneumonia, purpura fulminans
preventing PVL infection
close contact contaminated items crowding cleanliness cuts
treatment of PVL infection
antibiotics
nasal ointment
chlorhexidine
treat any contacts
what is folliculitis
follicular erythema, can be pustular
infections of non infectious (HIV)
treated by antibiotics - erythormicin
incision and drainage for furunculosis (large)
what is pseudomonal folliculitis (hot tub)
pseudomonas aeruginosa
associated w moisture, 1-3 days post exposure to hottub etc
self limiting
furuncle vs carbuncle
furuncle - deep abcess of one follicle
carbuncle - deep abscess of several adjacent follicles (can cause cellulitis or septicaemia)
what is cellulitis
infection of lower dermis/subcut tender swelling will ill defined blanching erythema/odemea usually strep pyogenes of s.aureus odema predisposes treated by systemic antibiotics
what is impetigo
superficial bac infection, honey coloured crust
staphylococcus
face
topical and systemic antibiotics
what is impetiginisation
infection of atopic eczema
what is ecthyma
severe impetigo
punch out ulceration
usually lower extrems
what is erysipelas
raised red plaque, sharp demarcation and painful
infection of deep dermis and subcut
face or limb
history of fever, malaise, headache
treatment IV antibiotics
corynebacterium causes
erythasma - in places that rub e.g armpits
pitted keratinolysis - on sole of foot
scalded skin syndrome
neonates, immunocompromised
erythema - blisters (bullae) - wrinkle and exfoliate
staphylococcus aureus
infection at distant site - not cultured from peeling skin
resembles TEN/SJS