Skin and soft tissue infection -...
Transcript of Skin and soft tissue infection -...
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Facial cellulitisFacial cellulitis
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PreseptalPreseptal cellulitiscellulitis
� Infection of the eyelids anterior to theorbital septum
� Erythema, tenderness and edema of theeyelidseyelids
� No restricted or painful ocular motility,decreased vision, and proptosis
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PreseptalPreseptal cellulitiscellulitis
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PreseptalPreseptal cellulitiscellulitis
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PreseptalPreseptal cellulitiscellulitis� Types:◦ Posttraumatic: S. aureus, S. pyogenes◦ Nontraumatic: S. pneumoniae, H. influ type b(
2-3% meningitis)T� Treatment:◦ Posttraumatic: clindamycin◦ Nontraumatic:� LP in systemic toxicity and extremely young
children� Clindamycin+ ceftriaxone
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ImpetigoImpetigo� Superficial bacterial infection that that progress
from papules to vesicles, pustules, and crusts� Nonbullous :◦ Rapidly progress from vesicle to pustule◦ Few to 10 mm size◦ margin of erythema,g y ,◦ honey colored crust,◦ sometimes adenopathy and spread to exposed area
� Bullous:◦ Small vesicle that progress to flaccid painless bulla> 1
cm◦ Erythematous moist base after rupture
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NonNon bullous impetigobullous impetigo
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Multiple non bullous impetigoMultiple non bullous impetigo
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BullousBullous impetigoimpetigo
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Bullous impetigoBullous impetigo
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Treatment of impetigoTreatment of impetigo
� Topical mupirocin (10-14 d):◦ localized nonbullous
� Oral cephalexine, clindamycin, co-trimoxazol :trimoxazol :◦ Streptococcal ( bullous)◦ Widespread◦ Perioral (licked off)◦ Deep (cellulitis, abscess, or lymphadenitis)
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EcthymaEcthyma
� An ulcer with elevated margins( till 4 cm)� A vesicle or pustule that erodes the
dermis� The ulcer obscured by dry adherent crust� The ulcer obscured by dry, adherent crust� Autoinoculation� Mostly on the legs� GABHS� Penicillin+ warm compresses
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EcthymaEcthyma
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FolliculitisFolliculitis� Superficial infection of the hair follicles with
purulent material� Small, dome-shaped pustules with an
erythematous base� Scalp, buttocks, and extremities� Poor hygiene, maceration, and shaving of the legsPoor hygiene, maceration, and shaving of the legs� Most often S. aureus� Treatment:◦ mild cases: topical mupirocin, tetracyclin, or
clindamycin BID◦ more severe cases:
� culture� Oral dicloxacillin, or cephalexin.
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FolliculitisFolliculitis
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FolliculitisFolliculitis
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