Post on 15-Feb-2017
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???
May 1, 2023 1Dr. Pawan KB Agrawal
????
May 1, 2023 2Dr. Pawan KB Agrawal
?????
May 1, 2023 3Dr. Pawan KB Agrawal
?????
May 1, 2023 4Dr. Pawan KB Agrawal
?????
May 1, 2023 5Dr. Pawan KB Agrawal
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.
May 1, 2023 7Dr. Pawan KB Agrawal
Impetigo
May 1, 2023 8Dr. Pawan KB Agrawal
Impetigo
• The most common bacterial infection in children.
• Caused by Streptococcus pyogenes or Staphylococcus aureus.
• Distribution: face followed by limbs
May 1, 2023 9Dr. Pawan KB Agrawal
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.
May 1, 2023 10Dr. Pawan KB Agrawal
Impetigo
May 1, 2023 11Dr. Pawan KB Agrawal
Impetigo
• Management: Local wound careTopical antibiotics like
fusidic acid or soframycin or mupirocin.Systemic antibiotics like
cloxacillin or cefadroxil.
May 1, 2023 12Dr. Pawan KB Agrawal
????
May 1, 2023 13Dr. Pawan KB Agrawal
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.
May 1, 2023 14Dr. Pawan KB Agrawal
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.
May 1, 2023 15Dr. Pawan KB Agrawal
Erythrasma
• Management: fusidic acid cream for topical use.
If fails, administer erythromycin or clarithromycin or amoxiclavulanic acid.
May 1, 2023 16Dr. Pawan KB Agrawal
Erythrasma
May 1, 2023 17Dr. Pawan KB Agrawal
?????
May 1, 2023 18Dr. Pawan KB Agrawal
?????
May 1, 2023 19Dr. Pawan KB Agrawal
?????
May 1, 2023 20Dr. Pawan KB Agrawal
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
May 1, 2023 21Dr. Pawan KB Agrawal
Pitted Keratolysis
• Presentation: Often asymptomatic ± malodor, hyperhidrosis, sliminess, soreness or itching.
• Management: avoid occlusive footwear. twice-daily applications of erythromycin, clindamycin, or fusidic acid.
May 1, 2023 22Dr. Pawan KB Agrawal
Take Home Message
May 1, 2023 23Dr. Pawan KB Agrawal
May 1, 2023 24Dr. Pawan KB Agrawal