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20 Cards in this Set

  • Front
  • Back

Vast majority of skin infections are caused by which pathogen?

S.aureus

In which two sets of patients is the range of organisms more diverse?

Immunocompromised


Diabetics

What is erysipelas?

An acute infection of the upper dermis and superficial lymphatics causing a rash

What is the most common cause of erysipelas?

Group A streptococci



S.pyogenes

Name 4 predisposing factors for erysipelas

Lymphoedema


Venous stasis


Obesity


Diabetes

Describe the erysipelas rash

Painful


Bright red


Oedematous


Peau d'orange



70-80% on the lower extremities

Scarlet fever is most commonly due to which pathogen?

S.pyogenes

What happens 2-5 days following the onset of the rash in scarlet fever?

Desquamation, due to organsims producing toxins

SSS is due to what pathogenic process?

An exfoliative toxin causing intradermal cleavage at the granular layer

Toxic shock syndrome is caused by which toxin?

TSST-1

What is cellulitis?

An acute spreading tissue infection of the skin extending deeper than erysipelas and involving SC tissues

Most common two causes of cellulitis?

S.aureus


Group A streptococci

Name a regimen used to treat cellulitis

Benpen + flucloxacillin + metronidazole


or


Cephalosporin + metronidazole


or


Meropenem + Vancomycin

Gas gangrene is usually as a result of what?

Trauma

The wound becomes contaminated with which organism in gas gangrene?

Clostridium perfringens

Gas gangrene may occur after which kind of surgery?

Bowel surgery

Treatment for gas gangrene?

Broad ABx until culture i.e benpen plus gentamicin plus metronidazole



Cheeky bit of hyperbaric oxygen

Causative bacteria of anthrax?

Bacillus anthracis

Which professions are at risk and how does it present?

Vets


Farmers



Cutaneous anthrax = malignant pustule



Pulmonary anthrax = inhalation of spores

Rx for Anthrax =

Penicillin