Friday, May 25, 2012

Hidradenitis and other conditions of the dermis

Hidradenitis affects the dermis. Is the infection of the sweat glands.
It is more common in the axilla, although you can see in groin. It's painful.
Its etiology is the agent is S. aureus. The predisposing factor is the use of antiperspirants, causing blockage of the outlet duct of the gland to the outside.

His treatment is based on local hygienic measures: proper washing, good drying, warm, moist compresses to open the exit of the duct and promote drainage spontaneous. Used antibiotics (ATB) systemic, as for the boil No indication of surgical drainage, because an incision and a scar that produces a level of continuity that closes by secondary intention, and breaks the sweat gland. Prophylaxis is avoiding the use of antiperspirants.

Cellulite is an entity of difficult diagnosis. DD with erysipelas.
It affects the subcutaneous tissue ..
Etiology: S. aureus and S. pyogenes.
Treatment: 1st cephalosporin. Generation to cover both germs.
Check that the lesion does not spread locally and do not invade deeper tissues.
Sometimes there are doubts about the depth of the process, what is internal to the patient

bites
Etiology: the origin of germs is the mouth that bites (usually dog, human, horse) and the skin of the bitten so often polymicrobial infections: Gram-positive cocci, anaerobes, BGN: Pasteurella multocida.Tratamiento: ampicillin -sulbactam for 3 days, the wound is not sutured.

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