Term
|
Definition
| +/- fever; increased WBC; mild lymphadenopathy; local tenderness; warmth and erythema; pain and tightness; swelling |
|
|
Term
| cellulitis likely causative bacteria |
|
Definition
| group A strep (most common bug encountered); staphylococcus aureus (particular inj drug users); clostridium perfringes (gas gangrene); haemophilus influenza (<5 yrs old) |
|
|
Term
|
Definition
| OK to treat with oral agents: dicloxacillin (Dynapen) or cephalexin (Keflex) |
|
|
Term
|
Definition
| clindamycin, macrolides, amoxicillin/Clavulanate +/- TMP/SMX |
|
|
Term
|
Definition
| IV nafcillin/oxacillin or cefazolin +/- gentamicin |
|
|
Term
|
Definition
| IV clindamycin (anaerobic coverage) plus IV Pen G and debridement |
|
|
Term
| skin infection txt duration |
|
Definition
| usually 7-10 days (or 4-5 after afebrile); should see improvement in 24-48 hours |
|
|
Term
| can occur in up to 30% of cases |
|
Definition
|
|
Term
| typically requires prolonged therapy with IV agents for 4-6 weeks (complication) |
|
Definition
|
|
Term
| skin infection complications |
|
Definition
| bactermia, osteomyelitis, lymphangitis, development of an abscess |
|
|
Term
|
Definition
| stubborn to manage; consider when draining sinus tract present; tends to involve anaerobes (foul odor)- both surgical drainage and IV antibiotics are needed |
|
|
Term
| non-infectious differential diagnosis |
|
Definition
| systemic lupus erythematosis (SLE); significant allergy/rash; Rx-induced reaction (Red mans syndrome); significant dermatologic conditions (psoriasis, sunburn) |
|
|
Term
|
Definition
| small, raised lesion, red/change skin color, SOLID (non-fluid filled) |
|
|
Term
|
Definition
| small, raised lesion, FLUID-FILLED (ie blisters) |
|
|
Term
|
Definition
| vesicle filled with pus (WBC = infection) |
|
|
Term
|
Definition
| large vesicle (>25) *staph aureus |
|
|
Term
|
Definition
| mild infection, oral treatment |
|
|
Term
|
Definition
| honey colored, crusted lesion around nose and mouth; pediatrics; superficial cellulitis (no permanent scarring); contagious (day care) |
|
|
Term
|
Definition
| Group A strep (80%), far less staph auresus (10%)- Bulla |
|
|
Term
|
Definition
| oral ceph-Keflex (both strep staph); Augmentin; Supportive: bactrobam - topical antibiotics helps with existing lesions |
|
|
Term
|
Definition
| facial cellulitis; adult infection on nose/cheeks |
|
|
Term
|
Definition
|
|
Term
|
Definition
| bright red, hardened, painful, raised lesion |
|
|
Term
| erysipelas 1/3 of patients |
|
Definition
| have recent respiratory/viral infection |
|
|
Term
|
Definition
|
|
Term
|
Definition
| cefazolin, oxacillin/nafcillin; want to see improvement in 24-48 hours otherwise return to doc |
|
|
Term
|
Definition
| deep level infection (epidermis/dermis); necrotizing fosiitis (Flesh eating bacteria)- may lead to amputation |
|
|
Term
|
Definition
| swelling, warm and red, painful, tight (on legs skin looks shiny due to hair follicles becoming damaged) |
|
|
Term
| 2/3 of cellulitis patients |
|
Definition
| second degree to some sort of skin trauma |
|
|
Term
|
Definition
| group A strep and staph; rare: clostridium perfringes (gas gangrene), H influenza (1-5 yr olds), gram - |
|
|
Term
| cellulitis txt for mild infections |
|
Definition
| oral beta-lactam; Keflex/dicloxacillin |
|
|
Term
| cellulitis txt for moderate-severe infections |
|
Definition
| N Abx: cefazoline, naficillin/oxacillin |
|
|
Term
| cellulitis: clostribium perfringes |
|
Definition
| clindamycin--> anaerobes, gram + |
|
|
