cellulitis accie skin
infection mc S aureus/GAS/MRSA
.
DM
· risk factors : IV
drug abuse , , immunocompromised ,
skin penetration
previous cellulitis , lymphatic dysfunction
erythema swollen-painful skin
, , myalgias ,
chills ,
warmth in involved area ,
fever ,
lymphadenopathy ,
& WB( corn + ↑ESR TCRP
oral cephalosporins/penicillinase-resistant B-Laciam 10-14
days
IV antibiotics~ severe bacteremia
linezolid/IV vancomycia
=
MRSA
necroticing fascitis 20-50 %
scabies
cutaneous infection caused by sarcoptes scabie : mite
risk crowded living
=
conditions , poor hygiene
severe provitis at site , warse after hot bath
mites be skin scraping
eggs may seen
+ in
permethrin towel , in i s
wash all clothes
cream
&
,
oral ivermectin
diphenhydramine to relieve pruritis
infection of close contacts
multiforme
toxic epidermal necrolysis (TEN) = severe form of Steve Johnson syndrome = erythema
affects mucous membranes and leads to plaque formation
vomiting mouth pain, dehydration
myalgia, nausea ,
eye
+
,
sloughing akin
of
stop caustive agent
steroids
analgesia -
fluids
TEN high martality raie 30 %
6WBC6Hg PALT/AST
... +
acyclovir
infection mc S aureus/GAS/MRSA
.
DM
· risk factors : IV
drug abuse , , immunocompromised ,
skin penetration
previous cellulitis , lymphatic dysfunction
erythema swollen-painful skin
, , myalgias ,
chills ,
warmth in involved area ,
fever ,
lymphadenopathy ,
& WB( corn + ↑ESR TCRP
oral cephalosporins/penicillinase-resistant B-Laciam 10-14
days
IV antibiotics~ severe bacteremia
linezolid/IV vancomycia
=
MRSA
necroticing fascitis 20-50 %
scabies
cutaneous infection caused by sarcoptes scabie : mite
risk crowded living
=
conditions , poor hygiene
severe provitis at site , warse after hot bath
mites be skin scraping
eggs may seen
+ in
permethrin towel , in i s
wash all clothes
cream
&
,
oral ivermectin
diphenhydramine to relieve pruritis
infection of close contacts
multiforme
toxic epidermal necrolysis (TEN) = severe form of Steve Johnson syndrome = erythema
affects mucous membranes and leads to plaque formation
vomiting mouth pain, dehydration
myalgia, nausea ,
eye
+
,
sloughing akin
of
stop caustive agent
steroids
analgesia -
fluids
TEN high martality raie 30 %
6WBC6Hg PALT/AST
... +
acyclovir
