Skin Bacterial Infections CS-OSPE
Boil or furuncle
- If eczema happened around it, itchy = infective eczema
Carbuncle
Deep infection of interconnected hair follicles
Diagnosis:
- Carbuncle
Treatment Option/Management:
- Incision and Drainage (I&D) / Drainage
- Systemic antibiotic / Topical and systemic antibiotics
Cellulitis
Case Description/History:
- There is erythema, edema, and tenderness
- History of fever, chills, wound
Diagnosis:
- Cellulitis
Responsible Organism/Cause:
- Group A streptococcus and Staphylococcus aureus (gram +)
Describe/Characteristics:
- The subcutaneous tissues are involved and the area is more raised and swollen, and the erythema less marginated.
Differential Diagnosis:
- Necrotizing fasciitis
- Superficial Thrombophlebitis
- Contact dermatitis (CNS)
Superficial Cellulitis:
- Erysipelas, it’s marked with dermal lymphatic involvement.
Risk Factors:
- Local trauma
- Underlying skin lesion
- Inflammation
- Edema and impaired lymphatics in the affected area
Management & Treatment:
- Full history
- Examination
- Education
- Elevation and rest / Elevation of the area to decrease edema / Elevation of involved area
- Systemic antibiotics oral or I.V / IV Antibiotic / Systemic Broad spectrum Antibiotic
- Hospitalization
- Cold-wet dressing
- Rest
- Topical steroids (note: often not primary treatment for cellulitis, but listed in source)
Impetigo
Case Description/History:
- Facial rash. The rash is not painful, but occasionally burns and itches
- An 8 Y\O girl with 2 days history of erythema on the upper cutaneous lip extending onto the nose, no elsewhere.
- This child got this infection from daycare.
- A five – year - old boy developed vesicles on his face that were not painful or pruritic, but some of the ruptured and crusted.
Diagnosis:
- Impetigo
Differential Diagnosis:
- Contact dermatitis
- Herpes simplex
- Discoid dermatitis
- chickenpox
- measles
Responsible Organisms/Cause:
- Superficial Bacterial Infection
- Crusted ulcerated by Group A streptococcus and bullous type by Staphylococcus aureus.
Describe/Morphology:
- Papules and plaques with overlying honey-colored crust.
Types/Clinical Variants:
- Non-bullous impetigo contagiosum (golden appearance)
- Bullous impetigo (flaccid bullae with clear yellow fluid, which later becomes purulent)
- Ecthyma deep impetigo (“punched out” ulcers covered with yellow crust surrounded by raised margins)
Diagnostic Question:
- If any one have the same Symptoms of his family / If any one have the same Symptoms in family
Management & Treatment:
- Full history
- Examination
- Education
- Topical or oral antibiotics
Secondary Syphilis
Secondary Syphilis
Erythema Nodosum
Diagnosis:
- Erythema nodosum
Two Diseases associated with it:
- Panniculitis
- Crohn’s disease
Panniculitis
What is the name of this condition?
- Panniculitis
Mention one condition that could be associated with this condition?
- Addison disease