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describe a rash or skin lesion that presents to your clinic. If your diagnosis is bacterial,...

describe a rash or skin lesion that presents to your clinic. If your diagnosis is bacterial, I want your two differentials to be two different origins such as fungal and viral. For example: If the patient is diagnosed with tinea corporis (fungal), your differentials might be Lyme disease (arthropod) and eczema (inflammatory).

XXXXXXXX Your answer needs to include XXXXX

how they are similar but, more importantly, how you differentiate one from the other. Include a complete description (size, shape, distribution, borders, and color), onset, associated symptoms (pain, fever, pruritis, and drainage), etiology, pathophysiology, and treatment of just the final diagnosis.

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Erysipelas is a skin infection in the upper layer of the skin caused by bacteria. It is similar to cellulitis that occurs in the lower layer of the skin. Erysipelas is caused by group A beta-hemolytic streptococci. Broken skin, excoriation, leg ulcer leads to the entry of Bacteria. Diabetes, leg ulcer, insect bites increase the risk of infection. The onset of symptoms is high fever with chills followed by edema, and erythema. The affected person may also develop malaise, headache, and nausea. The pain depends on the level of the severity of the skin lesion. Bacterial culture confirms the diagnosis and treated with the antimicrobial agent. PenicillinG 2 to 4 million intravenously every 4 to 6 hours or cephalosporin 1500mgis given intravenously three times a day followed by cefalexin 500mg 3 to 4 times daily. If it is not treated it leads to abscess or sepsis.

In cellulitis, it affects deeper inside the cells and causes ulceration and abscess. Erysipelas and cellulitis can be differentiated only by the necrotizing infection. The pain can extend beyond the infection, swelling and sometimes cause loss of sensation. It is treated by giving cloxacillin 2gm 2 times daily followed by cephalosporin 1500g 3 times daily IV and then cefalexin 500mg PO 3 to 4 times daily. But cellulitis may recur.

References:

  1. Oh CC, Ko HC, Lee HY et al. Antibiotic prophylaxis for preventing recurrent cellulitis: a systematic review and meta-analysis. J Infect 2014;69(1):26-34. PubMed.
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  • describe a rash or skin lesion that presents to your clinic. If your diagnosis is bacterial,...

    describe a rash or skin lesion that presents to your clinic. If your diagnosis is bacterial, I want your two differentials to be two different origins such as fungal and viral. For example: If the patient is diagnosed with tinea corporis (fungal), your differentials might be Lyme disease (arthropod) and eczema (inflammatory). Your answer needs to include how they are similar but, more importantly, how you differentiate one from the other. Include a complete description (size, shape, distribution, borders, and...

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