Friday, January 3, 2014

Bacterial Infections

Bacterial Infections

-Cellulitis-


-has similar features to erysipelas but extends to the deep subcutaneous tissues
-cellulitis lesions are not raised
-demarcation from uninvolved skin is distinct
-tissue is red, warm, and painful to palpation
-most common organism is staph aureus and group A streptococcus
-treatment parenteral-vancomycin and zosyn.  oral-cephalexin and bactrim or doxycycline


-Erysipelas-


-basically a superficial cellulitis with marked dermal lymphatic vessel involvement
-painful
-bright red, raised, edematous, indurated plaque with advance borders
-usually caused by group A beta hemolytic streptococcus
-can by caused by staph aureus
-treatment parenteral-vancomycin and zosyn.  oral-cephalexin and bactrim or doxycycline


-Impetigo-


-crusted golden yellow stuck on erosions that become confluent
-usually on nose, cheek, lips, and chin
-Caused by Group A Streptococcus
-Can be caused by staph
-Treatment usually with cephalexin, but should add bactoban, bactrim or doxycycline for MRSA coverage

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