Pus in the skin
Suppurative lesions of the skin

Suppurative Lesions of the skin
Superficial bacterial infection :
Impetigo contagiosa
Superficial folliculitis (Bockhart's impetigo
Tropical ulcer
Autoimmune disorders :
Pyoderma gangrenosum
Parasitic infestations secondarily infected :
Tineasis of the skin

Lesions, Causes & Features
Impetigo - staphylococci, streptococci or multiple bacteria.
Pediculosis - head lice
Scabies - Sarcoptis scabiei
Herpes simplex
Insect bites
Chronic health problems
Poor hygiene
Some people are asymptomatic carriers of Staphylococcua aureus in the nasal passages.
Bullous impetigo - S.aureus - bullae form - bullae rupture ulcers -  covered by honey- yellow colored crust.
Occurs on exposed areas of the body, face, hands, neck and limbs. -
Contagious and spreads to other parts and to other members of the family. -
Spreads by using others clothes or combes contaminated with exudates from the lesion Common in children living in poor hygienic conditions
Complication : acute glomerular nephritis.
Treated with systemic & topical antibiotics (Penicillin, cloxacillin, dicloxacillin, erythromycin, azithromycin. Mupirocin oint.

Folliculitis, Furuncles & Carbuncles
Folliculitis - infection and inlammation of the hair follicles - bacterial or fungal origin
Supereficial or deep
Single or multiple papules close to the hari follicles
Commonly in beard area in men who shave and wonen's legs
Ohter areas ; axillae, trunk and buttocks
Treatment : avoid shaving. antibiotic lotions. depilatory cream or electric razor may be used

Furuncle - boil - starts in hair follicle and spreads. deeper form of folliculitis - more in areas subjected to irritation, pressure, friction and excessive perspiration
small,  red, raised, painful pimple like - involves skin and subcutaneous tissue
Tender, painful
Surrounding induration +
Pointing may occur

Carbuncle - an abscess of the  skin and subcutaneous tissute - an extension of a  furuncle -- commonly in areas where the skin is thick and inelastic - back of neck and the buttocks
fever, pain, leukocytosis, septicemia
Furuncles and carbuncles more likely in DM, hematologic malignancies, immunosuppression - in hot climates

Do a C&S
Cloxacillin, dicloxacillin, flucloxacillin, cephalosporins, erythromycin
When fluctuant a small incision
Management of the underlying disorders

Squeezing the lesion causes spread. Dangerous area of the face - brain abscess due to spread thru veins to the venous sinuses of the brain.

* * * * * * * * * * * *


page view counter
search engine by freefind advanced
site search engine by freefind