Skin Lesions

 

Common Skin Infections

Skin infections, abscesses that are often linked to an staphylococcus infection have become a growing problem in doctor's offices and emergency rooms across the nation, with the number of cases doubling in eight years, a new study reveals. This is believed to signal an increase in the tough-to-fight bug known as community associated methiciline-resistant Staphylococcus aureus, or CA-MRSA.

MRSA grabbed widespread publicity in the East Bay in USA last fall when several junior high and high school students became infected. Crews scrubbed down campuses as nervous parents flooded school officials with phone calls.

In a study published Monday in the Archives of Internal Medicine, researchers from UC San Francisco looked at patient visits nationwide for skin infections from 1997 to 2005. They discovered that the number of people who went to a doctor's office or hospital emergency room because of a skin abscess or cellulites rose from 4.6 million to 9.6 million during that time.

That represented an increase from 17.3 patients per 1,000 population to 32.5 patients, based on data from the National Center for Health Statistics.

Abscesses and cellulites are often symptoms of staphylococcus. Cellulites is a bacterial skin infection marked by redness, pain and swelling. It is different from the fatty thigh deposits known as cellulite that plague many sunbathers. In the past these infections were treated with antibiotics (flucloxaciline, fucidin, bacterioban, amoxicillin, cephalexin, tetracycline) that killed the bacteria but now they are resistant to almost all antibiotics. Most patients infected with this bacteria now require hospital treatment for 3 weeks using an intravenous antibiotic called vancomycine.

  • Abscess: Red, painful swelling with pus, ulcerated draining abscess with surrounding area of erythema
  • Eczema: generalized symmetric discrete and confluent hyperpigmented scaly crusted excoriated plaques
  • Cellulitis: excoriated, well demarcated, red, edematous patches, vesicles, pustules, bullae, erosions, and crusts
  • Impetigo: multiple grouped 3 mm-1.5 cm crusted expanded vesicles and erosions
  • Carbuncle: tender firm indurate erythematous subcutaneous fluctuant mass studded with draining pustules
  • Wound: Simple cuts, pin pricks, wounds that occur after fall gets infected & may form abscess
  • Spider Bite: Small lesion looks like spider bite. Similar lesions in the past were not dangerous

Others Who are at Risk of harbouring CA-MRSA are:

  • Children with eczema treated with steroid cream,
  • Cystic fibrosis
  • Immuno-supressed patients (steroids, kidney disease, cancer treatment & transplant surgery)
  • Drug abusers
  • Men having sex with men
  • Visitors to massage pallor
  • Prisoners






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