Skin Infections: Impetigo and Erysipelas

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Questions and Answers

Which bacteria commonly cause impetigo?

  • P. aeruginosa
  • S. aureus (correct)
  • Group B streptococci
  • Group A streptococci (correct)

What is a defining characteristic of erysipelas?

  • It involves deep tissue necrosis
  • It is primarily caused by staphylococci
  • It affects only children
  • It presents with well defined, spreading erythematous inflammation (correct)

What is the most common causative agent of folliculitis associated with areas of friction?

  • P. aeruginosa
  • S. epidermidis
  • C. acnes
  • S. aureus (correct)

Which feature is NOT associated with impetigo?

<p>Well defined erythematous inflammation (C)</p> Signup and view all the answers

What typically weeps serous fluid among the listed infections?

<p>Impetigo (D)</p> Signup and view all the answers

Epidermal erosion with elevated margins is a characteristic of?

<p>Impetigo (B)</p> Signup and view all the answers

What causes folliculitis after exposure to swimming pools or hot tubs?

<p>P. aeruginosa (A)</p> Signup and view all the answers

Which population is primarily affected by erysipelas?

<p>Children and the elderly (D)</p> Signup and view all the answers

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Study Notes

Skin Infections

Impetigo

  • Characterized by fragile, pinhead-sized vesicles or pustules that rupture early, forming rapidly enlarging and spreading erosions with bright yellow crusts.
  • Crusts have elevated margins and are attached in the center.
  • Spreading infection limited to the epidermis presents as a bullous, crusted, or pustular eruption of the skin.
  • Lesions may weep a serous fluid.

Erysipelas

  • A contagious disease of skin and subcutaneous tissue, marked by redness and swelling accompanied by vesicular and bullous lesions.
  • Almost always caused by group A streptococci.
  • Typically occurs on the cheek.
  • Seen primarily in children and the elderly.
  • Characteristics: blocking of dermal lymphatics, presenting as a well-defined, spreading erythematous inflammation.
  • Often accompanied by pain and fever.

Folliculitis

  • A group of skin conditions in which there are inflamed hair follicles.
  • Results in a tender red spot, often with a surface pustule.
  • Can affect anywhere there are hairs, including the chest, back, arms, and legs.
  • Usually caused by S. aureus.
  • Often associated with areas of friction and sweat gland activity.
  • Most frequently seen on the neck, face, and axillae.
  • Infection with P. aeruginosa can occur after exposure to inadequately chlorinated water in swimming pools or hot tubs.

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