피부 감염병과 피부 감염병과 비슷한 피부병, Skin infections and infection-Mimickers

■ 농가진 Impetigo

1. Types of impetigo Impetigo bullae – caused by Staphylococcus aureus infection. Staphylococcus exotoxin causes pole cell detachment, resulting in blisters. Non-vesicular impetigo – caused by a staphylococcal infection or a streptococcal infection. It is a type of non-vesicular impetigo.

2. Impetigo in children can occur either primary or secondary.

3. Impetigo in adults is usually secondary. For example, secondary impetigo may develop when the skin’s protective immune function is compromised, when the immune system is compromised, or when receiving immunosuppressant treatment.

4. Treatment with topical antibiotics such as Mupirocin or oral antibiotics if severe, widespread, or poorly treated with topical treatment.

■ 황색 포도상구균 종기증 S. Aureus Furunculosis

1. Large boils with pus are usually treated only with incision drainage or with incision drainage treatment + oral anti-staphylococcal antibiotic treatment.

2. However, in the following cases, treatment should be done by other methods rather than the incision and drainage recommended above.

Boils around the mouth, hands, and face Simultaneous with cellulitis or septic phlebitis Boils larger than 5 cm in diameter Recurrent or untreated boils Treatment of boils depends on age, immune impairment, or systemic disease.

■ 포도상구균 군집 방지 Staphlococcus Decolonization

• Simply apply Mupironcin ointment to the nostrils or wash your hands with Chlorhexidine to prevent staphylococcal colonization and prevent staphylococcal infections. Sometimes it is prevented by taking antibiotics orally.
• There are other methods such as bathing with benzoyl peroxide or Bleach.

■ HIV 감염환자에게 생긴 황색 포도상구균 피부 감염병 S.Aureus skin disease in HIV

• The most common bacterial skin infection in HIV-infected patients is Staphylococcus aureus skin infection.
• HIV-infected patients are more than twice as likely to carry Staphylococcus aureus resistant to methicillin sensitivity testing.
• The infection rate of Staphylococcus aureus resistant to community-acquired methicillin susceptibility tests is more than six times higher. 40% relapse within 4 months.
• Prophylactic treatment with Shettra (Tmp-smx) is ineffective. If the virus load is over 1000, the infection rate will be lower.

■ 연조직염 Cellulitis

• • Infectious diseases occurring in the dermis layer, subcutaneous tissue and adipose tissue layer are called cellulitis.
• • Caused by a streptococcal or Staphylococcus aureus infection.
• • It is red and warm and painful to the touch. and pour
• • Usually a fever and a CBC blood test increase the white blood cell count.
• • People who are being treated with immunosuppressive drugs, people with diabetes, obesity, lymphedema, skin ulcers, skin lacerations, or fungal foot infections are more prone to this disease.
• • In severe cases, hospitalization and vascular antibiotics are given.
• • In simple cases, cellulitis can be treated with oral antibiotics by raising the affected body and not moving the body as much as possible.
• • Cellulitis caused by Staphylococcus aureus or group A streptococci treated with methicillin should be treated with beta-lactam antibiotics.
• • Cellulitis infected with methicillin-treated Staphylococcus aureus or community-acquired methicillin-resistant Staphylococcus aureus is usually treated with Shettra. • Group A streptococci are usually not treated with Shettra.
• • In general, there may or may not be sensitive to treatment with clindamycin, tetracycline or fluoroquinolones.
• • The infection rate of methicillin-sensitive Staphylococcus aureus varies depending on the region in which it lives but is usually more than 50%.
• • In some cases, treatment with an appropriate antibiotic selected by experience may not be cured and the disease may become worse, and even if treated with an appropriate antibiotic based on a bacterial culture test, sometimes the treatment result may not be excellent.

■ 흔한 피부 진균 감염병과 바이러스 감염병 Common cutaneous fungal and viral infections

1. Fungal Infectious Diseases (Fungal Infectious Diseases)

• Ringworm of the foot (Tinea pedis)

• Harmony (All Wind) P. versicolor 2. Viral Infectious Diseases

• Human papillomavirus infection HPV Infection

• Molluscum Contagiosum (Water wart) • Herpes simplex virus infection HSV Infection • Shingles VZV

• Human Immunodeficiency Virus Infectious Disease HIV Infection

• Viral dermatitis

■ 감염물렁종 (물사마귀) Molluscum Contagiosum

• Viral dermatitis with indented umbilical papules and nodules
• The center of the papule is yellow or white It is caused by a poxvirus infection. When HIV-infected patients develop this disease, the symptoms are severe.

■ 망울혈반(그물 울혈반 Livedo reticularis

• • Violet reticulum or lace-like erythema
• • 1-3 cm star-shaped spots appear on the edges
• • A skin disease caused by thrombosis in capillaries and congestion of three venous blood vessels is called bulging veins.
• • These spots can occur even when no pre-existing disease is present.
• • Hyperlipidemia, microcapillary disorders, anemia, malnutrition, and autoimmune diseases can cause this skin disease.

■ 알레르기(앨러지성) 접촉성 피부염 Allergic Contact Dermatitis