Professional Documents
Culture Documents
the
management of impetigo.
Define folliculitis , classify it and describe the management of it. Describe the C/F, investigations and management of ecthyma/ cellulites/ erysipelas/ furuncle/ carbuncle/ SSSS.
Contd
Fungal group
Pityriasporum
2.
1. Cause - Streptococcal (Group A) - Staph. aureus (Phage Groups II) 2. Pre-school and young school age 3. Very thin walled vesicle on an erythematus base 4. Transient 5. Yellowish-brain crusts (thick)
Contd
6. Irregular peripheral extension without healing 7. Regional adenitis 8. Constitutional symptoms present 9. Face (around the nose, mouth & limbs) 10. Palms & sole spared 11.MM, very rare
Central healing with peripheral extension Rare Absent occur anywhere May involved May involved
Predisposing factors
Malnutrition Diabetes Immuno-compromise status
Complications
Streptococcal infection PSGN (strep M-type 49) Scarlet fever Urticaria Erythema mutiforme
Ecthyma
Streptococcal & staph
Common in children
Small bullae or pustules on erythematous base Formation of adherent dry crusts Beneath which ulcer present Indurated base Heals with scar and pigmentation Buttocks, thighs and legs, commonly affected
Folliculitis
Superficial folliculitis
Infection of hair follicles Commonly caused by staph. aureus
Children
Scalp & limb Rarely painful Heals in a week
Folliculitis
Deep folliculitis of leg
Chronic
Staph. aureus
Atrophic scar
Furuncle (Boil)
Acute
Staph. aureus
Small, follicular noduler -- Pustule--necrotic-discharge pus Painful Constitutional symptoms
Age: Adult
Site: Neck, Wrist, Waist, Buttocks, Face
Complication
Cavernous Sinus thrombosis, (upper lip & check) Septicemia (malnutrition)
Carbuncle
Extensive infection of a group of contagious follicles
Staph. aureus Middle or old age
Predisposing factors
Diabetes Malnutrition Severe generalized dermatoses During prolonged steroid therapy
Painful, hard lump Suppuration begins after 5-7 days Pus discharge from multiple follicular orificies Necrosis of intervening skin Large deep ulcer
Constitutional symptoms
Sycosis barbae
Beard region Pustules surrounded by erythema Males After puberty After trauma
Cellulitis
Acute/sub-acute/chronic
Inflammation of loose connective tissue Streptococcal (Group A) Erythematous, edematous, swelling Pain/tenderness Constitutional upset
Pyonychia
Acute
Erythematous swelling of proximal and lateral
nail fold
Painful
Complication 2%
Cellulitis Pneumonia
Prognosis : Rule
Systemic
Treatment of disease like DM Nutritional deficiency Immunodeficiency
Systemic therapy
Antibiotics
a.
d.
Thank you