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SKIN INFXNS 2

Bacillus Anthracis: gram + spore bacilli, polyDglutamate capsule; Protective Ag, Lethal Factor (MAPKmetalloproteinase, !"ema Factor (#A$ # e"ema; on animal skins/soil; %ool; Cutaneous anthrax & pr'ritic

 pap'lere" raise" lesion painless blac eschar )*re" rolle" e"ge + regional lmpha"enopath +* sstemic

S-s; Injection anthrax: contaminate" heroin # c'taneo's anthra- + muscle infxn

Corynebacterium Diphtheria: gram + ro", . / ang'lar pairs; sin*oropharn- o0 imm'ne pts; A1P!F2;

Cutaneous Diphtheria # nonhealing 'lcer )*"irt gra membrane +* sstemic S-s

Psuedomonas aeruginosa: in )ater*soil; alginate capsule, biofilm, grape o"or; A1P!F2; Wound infxns 

can progress to osteomyelitis; Hot tub folliculitis; green nail syndroncholsis (pocanin; BurnsCellulitis: I tract coloni3e" 0r ra) 4eggie, "irt e5'ipmentcell'litis )*bl'egreen p's + septicemia;

 Ecthyma gangrenosum = Sign o0 septicemia (vascular invasion

!ibrio !ulnificus: gram 6 ro" commashape", green on 7$8S*alaline agar; est'arine halophile )*unipolarflagellum; 9: shell0ish "eath; Wound infxncellulitis o0 "ermis*s'bc't 0at (sh'c osters, lacerations 0r

 boats progress to necroti"ing fasciitis/sepsis; pts )*#e overload cdns that eat ra) osters (septicemia +

 b'llo's sin lesions

Pasteurella $ulticoda: cat bitescell'litis (rapi", pain s)elling, p'r'lent "ischarge

P

malaiseitch asynchronous rash ("e) "rop on rose petal; cr'sthpopigmentationo4al scars; contagio's

B "as a0ter lesions "r; )ea $MI # ris o0 interstitial pneumonia, encephatlitis, liver infxn A"'lts getinterstitial pneumonia fr inflammatory rxns; "hingles 0r reacti4ation (pain4esicles )*4iable 4ir's 

 postherpetic ne'ralgia

(mallpox: po-4ir's; large 4ir's )*cytoplasmic inclusions 0.uarnieri bodies; 1NA "ep

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a"'lts, cervical 5 posterior auricular lymphadenopathy; ?A, conE'ncti4itis; she" 4ir's 2 )s be0ore S-s, 2

)s a0ter rash; MM

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-ead >ice: Pe"ic'l's h'man's capitis; "irect contact or sharing; can=t b'rro) in sin; 0ee" on h'man bloo" b

 piercing sin; 1- b r'nning comb; head lice 6 itch, can see bites on necs o0 longhaire" ppl

Body >ice: Pe"ic'l's h'man's h'man's (corporis; body louse looks same as head louse phsical

contact*contact )*in0ecte" sheets; la eggs (nits on clothes, can see in seams; )ill "ie i0 clothing not )orn 0or

0e) "as; homeless ppl # intense itching, small re" b'mps, sin thicen, "iscoloration D )aist, groin, 'pperthighs; sores can be in0ecte" )*bacteria; lo'se sprea" ice: Pthir's p'bis; teens*o'ng a"'lts; "i00 0r pre4io's t)o bc rounded body  thicer bac legs

)*large cla)s; se-'al contact or share sheets (can=t sprea" 0r toilet seat bc can=t cra)l on smooth s'r0aces; 1- b small gray 1hite oval eggs 0nits D hair sha0t; itch 1orse ? night )s a0ter in0-n; pale bl'ish mac'les D

0ee"ing site on lo)er ab"omen, pro-imal thigh, b'tt

Bed Bugs: $ime- Lect'laris; acti4e D night, 0ee" on h'man bloo" onl )hen other pre 'na4ail; attracte" toh'mans bc C8 5 1armth; pierce h'man sin )*stlet, 0ee" H:min, e4er : "as; more bloo" meals #

more eggs pro"'ce"; painless at 0irstitch red papules or 1elts; on e-pose" sin D sleep; be" b'gs m'st be

0o'n" 0or 1-; can ca'se allergic (xs 5 psychologic effects

Botfly: 1ermatobia hominis; "eposit eggs onto sin, 'se bo" heat 0or hatching; or lar4ae "roppe" to sin 0rinterme"iate 4ector (0l, mos5'ito, tic; lar4ae "e4elop in s'bc't laers )*hole for breathing )hile 0ee" o00

 bloo"tiss'es; mat're O)s, "rops 0r sin to complete p'pal stage in soil; Cutaneous myiasis: lar4al b'rro) #

)hite boil, intense pain, maggot secrete antibiotic to )ar" o00 in0-n )hile 0ee"ing, )riggles; man hoos # har"

to remo4e, s'00ocate )*meat )hich it )ill b'rro) into#>+A(: itch, slightl raise" pap'les, in gro'ps o0 H; transmit /ersinia pestis,