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Normal skin flora- Bacteria
- Staphylococci
- Corynebacteria
- Propionibacteria
- Streptococci
- Clostridium perfringens
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Normal skin flora- Yeast
- Candida
- M. furfur
- Torulopsis glabrata
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Normal oral flora- Aerobes
- Streptococci (viridans group)
- Actinomyces israelii
- Neisseria
- Haemophilus
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Normal oral flora- Anaerobes
- Peptostreptococcus
- Lactobacilli
- Fusobacterium
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Herpes simplex
Vesicles on an erythematous base
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Herpes zoster
Vesicles on an erythematous base
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Pox virus
- Varicella
- Showers of lesions
- Lesions in all stages
- Little papules
- All stages at the same time (clue to diagnosis)
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Coxsackie virus
- Herpangina
- Hand/foot/mouth disease
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Viral exanthema
- Skin rashes that follow viremias, usually accompanied by fever.
- Measles, rubella, roseola, fifth disease
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Bite Infections: early infection
Pasteurella multocida
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Bite infections: late infection
- Staphylococcus spp.
- Streptococcus spp.
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Bite infections: implicated
- Capnocytophaga canimorsus (cats/dogs)
- Eikenella corrodens (humans)
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Bite infections: rare causes
- Haemophilus spp.
- Pseudomonas spp.
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Propionibacterium
Secretes low molecular weight peptide that attracts neutrophils, creating acne.
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Mastitis
- Common postpartum infection
- Staphylococcus aureus (most common) MSSA and MRSA
- Group A or Group B Streptococci
- E. coli
- Bacteroides
- Coagulase negative Staphylococci
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Impetigo
- Staph infection on top of the lesion can look like herpes or secondary herpes, difficult to separate out.
- Treat for both strep and staph.
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Classic impetigo
Group A Streptococcus
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Bullous impetigo
- Staphylococcus aureus
- "Honey crust"
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Cellulitis
- Group A streptococcus
- Staph aureus (rare)
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Rare causes of cellulitis and abscesses
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Osteomyelitis
- Usually long bones
- Usually Staphylococcus aureus, any organism possible
- Infection by hematogenous spread from cutaneous site
- Specific diagnosis required for treatment
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Osteomyelitis of children
- Kingella kingae (Gram negative rod)
- Femur, talus, or calcaneus
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Staph aureus infection
- Boils
- Furuncles
- Abscesses
- *need to know if methicillin resistant or methicillin sensitive
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