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Bacterial Infections

»Which bacterium is the most common cause of skin infections?
»What kinds of skin infections does Staphylococcus aureus produce?
»Is Staphylococcus aureus the only bacterium that causes impetigo?
»What does staphylococcal impetigo look like?
»Why is staphylococcal impetigo frequently bullous?
»How is bullous impetigo diagnosed?
»How is bullous impetigo treated?
»What is the difference between a furuncle and a carbuncle?
»How do furuncles present?
»What is the best way to treat furuncles?
»Why do some patients develop recurrent staphylococcal impetigo or recurrent furunculosis?
»How is staphylococcal carriage eliminated?
»What is staphylococcal scalded-skin syndrome?
»Describe the presentation of toxic shock syndrome.
»Why is S. aureus frequently found in secondary infections of dermatitis and wounds?
»What is MRSA?
»What is the difference between HA-MRSA and CA-MRSA?
»What types of cutaneous infections are produced by b-hemolytic streptococci?
»How does streptococcal impetigo present?
»What is ecthyma?
»What is blistering distal dactylitis?
»What is erysipelas?
»How do you diagnose erysipelas?
»How is erysipelas treated?
»Describe the cutaneous manifestations of Lyme disease.
»A patient living in an endemic area for Lyme disease reports a history of a tick bite. Should that patient receive antibiotic prophylaxis?
»What types of skin infections does Pseudomonas aeruginosa produce?
»How does ecthyma gangrenosum differ from ecthyma?
»Where do you usually acquire Pseudomonas folliculitis?
»How does Pseudomonas folliculitis present?
»What is the best treatment for Pseudomonas folliculitis?
»How is Wood’s light used in diagnosing Pseudomonas infections?
»What causes tularemia? Where did the name tularemia come from?
»Describe the skin lesions of tularemia.
»How should tularemia be treated?
»What is trichomycosis axillaris?

 
 
 

Describe the presentation of toxic shock syndrome.

Toxic shock syndrome is an acute febrile illness due to Staphylococcus aureus strains that produce pyrogenic exotoxins. These toxin-producing strains have been isolated classically from superabsorbent tampons in menstruating women but are also found in abscesses, wound infections, or the vaginas of nonmenstruating women.

Clinically, the hallmarks are fever, hypotension, and a diffuse erythema that resembles scarlet fever. Other manifestations include pharyngeal erythema, strawberry tongue, conjunctival infection, and gastrointestinal symptoms. Desquamation of the palms and soles occurs 1 to 2 weeks following resolution of the erythema.