bacterial skin infections in general opd
TRANSCRIPT
A Case Scenario
A 30 yrs male presented to your general OPD with a scary lesion on his left axilla .
1. Your questions???2. Differentials???3. Management???
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Bacterial Skin Infections in
Primary Care SettingsBy:
Dr. Pawan KB Agrawal, MDConsultant General Practitioner
Bayalpata Hospital, Accham.26th October, 2016, Wednesday.
Objectives
• To recognize common bacterial infections in OPD.
• To manage those infections.
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Impetigo
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Impetigo
• The most common bacterial infection in children.
• Caused by Streptococcus pyogenes or Staphylococcus aureus.
• Distribution: face followed by limbs
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Impetigo
• Presentation: small vesicles or pustuleshoney-colored crust with a moist erythematous base. Fever ±
• Bullous impetigo differs from non bullous since it occurs more in neonates; does not form crusts & involves mucosal membrane.
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Impetigo
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Impetigo
• Management: Local wound careTopical antibiotics like
fusidic acid or soframycin or mupirocin.Systemic antibiotics like
cloxacillin or cefadroxil.
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Erythrasma
• chronic superficial infection of the intertriginous areas of the skin.
• ranges from months to years.• Caused by Corynebacterium minutissimum.• Distribution: inner thighs, scrotum, and toe
webs.
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Erythrasma
• Presentation: well-demarcated, brown-red macular patches. wrinkled appearance with fine scales. often asymptomatic but may be pruritic.
• Wood light examination reveals coral-red fluorescence.
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Erythrasma
• Management: fusidic acid cream for topical use.
If fails, administer erythromycin or clarithromycin or amoxiclavulanic acid.
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Erythrasma
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Pitted Keratolysis
• characterized by crateriform pitting that primarily affects the pressure-bearing aspects of the plantar surface of the feet.
• Caused by Micrococcus, Dermatophilus or Cornebacterium.
• Distribution: Plantar surface
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Pitted Keratolysis
• Presentation: Often asymptomatic ± malodor, hyperhidrosis, sliminess, soreness or itching.
• Management: avoid occlusive footwear. twice-daily applications of erythromycin, clindamycin, or fusidic acid.
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Take Home Message
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