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Skin Disease
Published in John S. Axford, Chris A. O'Callaghan, Medicine for Finals and Beyond, 2023
Christopher Bunker, Richard Watchorn
Treatment:Antibiotics (usually flucloxacillin or erythromycin)Incision and drainage required for furunculosisDecolonization regimens of nasal mupirocin and chlorhexidine body wash required if swabs indicate nasal carriage of Staphylococcus aureus or if PVL-positive
Conditions of the External Ear
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
Ayeshah Abdul-Hamid, Samuel MacKeith
Furunculosis is an infection of a single hair follicle. The lateral aspect of the EAC, which has hair follicles, is the site of furunculosis. Bacterial infection of the hair follicle can progress from a deep skin infection to form a local abscess with associated cellulitis and oedema.
Otorhinolaryngology
Published in Stephan Strobel, Lewis Spitz, Stephen D. Marks, Great Ormond Street Handbook of Paediatrics, 2019
Chris Jephson, C. Martin Bailey
This includes meticulous aural toilet, bacteriological swabs and, if necessary, the use of wicks with antibiotic/antifungal/steroid drops. If cellulitis spreads beyond the canal onto the auricle, systemic antibiotics are necessary. It is important to keep the ear dry and continue treatment for several days after the acute episode has settled. Furunculosis may require incision and drainage.
Epidemiology, aetiology and treatment of skin and soft tissue infections: final report of a prospective multicentre national registry
Published in Journal of Chemotherapy, 2022
Silvano Esposito, Pasquale Pagliano, Giuseppe De Simone, Angelo Pan, Paola Brambilla, Gianni Gattuso, Claudio Mastroianni, Blertha Kertusha, Carlo Contini, Lorenzo Massoli, Daniela Francisci, Giulia Priante, Marco Libanore, Roberto Bicocchi, Guglielmo Borgia, Alberto Enrico Maraolo, Pierluigi Brugnaro, Sandro Panese, Alessandra Calabresi, Giovanni Amendola, Francesca Savalli, Consuelo Geraci, Andrea Tedesco, Sara Fossati, Anna Carretta, Teresa Santantonio, Giovanni Cenderello, Maria Paola Crisalli, Elisabetta Schiaroli, Pierangelo Rovere, Giulia Masini, Roberto Ferretto, Antonio Cascio, Claudia Colomba, Claudia Gioè, Mario Tumbarello, Angela Raffaella Losito, Giuseppe Foti, Tullio Prestileo, Calogero Buscemi, Chiara Iaria, Carmelo Iacobello, Sofia Sonia, Giulio Starnini, Anna Ialungo, Mauro Sapienza
Regarding the less frequent infections observed by our ID specialists, it is significant that impetigo, furunculosis and folliculitis, representing less than 2% of the SSTIs diagnosed in our study, are described with a much higher proportion of diagnoses in other studies (12% impetigo and 17% furunculosis for Casey et al.) [32]. All these differences present in the rates of various SSTIs are due to several biases: first of all, the selection of patients (the frequency of some infections markedly differs between inpatients and outpatients) but also the selection of the type of SSTI included in the study. In our registry, we included a large cohort of different patients and all types of SSTIs, from mild infections not needing drugs, to severe, necrotic and complicated infections aiming to represent accurately the heterogeneous array of SSTIs.
Design of lower limb prosthetic sockets: a review
Published in Expert Review of Medical Devices, 2022
Minghui Wang, Qingjun Nong, Yunlong Liu, Hongliu Yu
The temperature of the prosthetic socket is rising in the full-contact prosthetic sockets and other prosthetic sockets for large contact areas with skin due to the close fit. The rising temperature makes the skin sweat more than usual, and the sweat cannot evaporate freely in a substantial area. The increased humidity may occur intertriginous dermatitis, evoking infections with dermatophytes and yeasts of the groin. The increased humidity may cause slippage and lead to skin problem. In addition, bacterial infections occur, especially with staphylococcus aureus leading to folliculitis, furunculosis (or boils), cellulitis, pyoderma, and hidradenitis [16]. Sensitization from chemical compounds of the socket or liner also may lead to allergic contact dermatitis and irritant dermatitis and atopic eczema (Figure 2) [20]. Preexisting skin diseases (e.g. psoriasis or acne) may be elicited by the use of sockets.
Mycobacterium abscessus felon complicated with osteomyelitis: not an ordinary nail salon visit
Published in Acta Clinica Belgica, 2020
Jose Armando Gonzales Zamora, Abelardo Villar Astete
The most common extrapulmonary site affected by this organism is the skin. Cutaneous involvement can occur via dissemination in immunocompromised patients or from direct contact with contaminated material or water through traumatic injury, surgical wound, or environmental exposure [6]. Skin infection caused by M. abscessus has been reported in patients who recently underwent cosmetic procedures, tattooing, and acupuncture [6]. Cases occurring after footbaths have also been described [7,8]. In this regard, a systematic surveillance conducted in North Carolina from 2005 to 2008 identified 40 cases of pedicure associated nontuberculous mycobacterial furunculosis [3]. The responsible organisms primarily belonged to the Mycobacterium chelonae/abscessus group (91% of isolates), with only 6.3% identified as M. fortuitum. Suboptimal footbath cleaning in implicated salons contributed to these infections. In this review, a broad spectrum of disease was observed, ranging from a single plaque to multiple, nodular, and excoriated lesions in lower extremities. Although skin trauma produced by leg shaving has been associated to nontuberculous mycobacterial furunculosis, the authors of this review did not observe any practices in the salons that might have led to trauma to the legs. Another important finding of this study was the identification of many species of rapidly growing mycobacteria from tap water, footbath water, and pipe biofilms in all the salons. Suboptimal cleaning (visible debris and surface biofilms) was observed in 11 of 13 implicated salons [3].