Friday, January 13, 2006

Staphylococcal Infections

- normal flora of nose and skin
- virulence factors - coagulase, hemolysin, protein A (ties up Abs)
- Abs against staph are of limited effectiveness
- coagulase positive staph (pyogenes and aureus) is a potent pathogen
- catalase positive
- most common cuase of bacterial skin abscess
- furuncels are single pimples, carbuncles are pimple clusters linked together by tracks of tissue necrosis which involve the fascia
- staph sepsis is rare but serious
- impetigo is a pediatric infection limited to the stratum corneum of the skin - look for honey-colored crusts
- staph infections of the nail bed (paronychia) and palmar fingertips (felons) are especially painful and destructive
- propionibacterium causes acne
- staph endocarditis is common and can involve either side of heart
- while S. aureus can invade the gut, it is much more common to encounter food poisoning due to strains which have produced enterotoxin B, from unrefrigerated meat or milk products
- toxic shock syndrome produces shock syndrome toxin 1
- scalded skin syndrome is caused by strains of epidermolytoc toxin
- methicillin resistant staph aureus - causes much alarm; most hospital strains are sensitive
- coagulase negative staph (epidermidis) are skin commensals and opportunists which infect the prosthetic heart

Tuesday, January 10, 2006

Catch A Killer Bug In Hospital

...VIRUSES AND BACTERIA do not have passports nor require visas for travel....

...It can become deadly if it enters the bloodstream with patients in intensive care and surgical wards most vulnerable.

MRSA is a superbug that can cause severe boils and also lead to fatal infections of the bones, heart and death due to blood poisoning.

A medical student confided that there was a high incidence of MRSA at the hospital at that time and it is ...

Catch A Killer Bug In Hospital

Mobility Being Restricted By Painful Boils

...Q: I keep getting boils between my buttocks and between my legs. They are sore and they restrict my walking. I am a 45-year-old male and would be grateful for your advice....

...A: Boils are very common in hair-bearing areas of the body, which are likely to sweat or experience friction. Whatever you do, don't squeeze or burst....

Mobility Being Restricted By Painful Boils

Wednesday, January 04, 2006

Bad Meat Lands Hundreds in Hospital

...Hundreds of villagers yesterday sought treatment at the Maragwa District Hospital after eating infected meat...

...One of the victims Monica Nyambura and her six young children said they feasted on the meat over Christmas and only began to get symptoms on Thursday. Another victim Steve Murigi said he ate the meat on several occasions...

...They had developed boils on the skin and complained of stomachache and headaches...


Bad Meat Lands Hundreds in Hospital..Read More

"Superbugs" Infiltrate Hospitals, Communities

...Drug-resistant bacteria are taking hold in hospitals and in the community, adding urgency to the need for new antibiotics and better infection-control measures, said scientists meeting here...

...Community-acquired MRSA usually causes boils and skin rashes but can lead to serious infections that require hospitalization.

The strains found in hospitals, which generally infect the most seriously ill patients, cause blood infections, surgical site infections and pneumonia....

Superbugs Infiltrate Hospitals, Communities..Read More

The Rise Of A Tougher Staph

...Infections showing up more often outside of health care facilities...

...Methicillin-resistant Staphylococcus aureus skin infections, which primarily affect people in hospitals or other health care settings, are showing up in people who haven't been near those facilities....

...Earlier this year, another study in the same journal reported that drug-resistant staph had acquired "flesh-eating" capabilities and caused 14 cases of rare necrotizing fasciitis in the Los Angeles area....

...If it enters the body, which usually happens through cuts on the skin, it can cause infections that range from pimples and boils that can be treated without antibiotics to more serious complications such as surgical wound infections, bloodstream infections and pneumonia....

...The CDC also recommends the following to help prevent antibiotic-resistant infections:...

The Rise Of A Tougher Staph..Boils..Read More

Doctors See More Cases Of Tougher Infections

...Germ more drug-resistant; complications can be serious...

...A patient comes in with a skin lesion that looks like a spider bite but turns out to be a staph infection resistant to certain antibiotics -- and potentially dangerous....

...Preston, a 16-year-old junior running back and linebacker at the time, developed what looked like a small boil on his right elbow.

Within days, it became red and hot and swelled to the size of an orange. He spent more than a week in two hospitals, receiving intravenous antibiotics....

...If a resistant infection develops, it can be treated -- although sometimes not so easily. Doctors may need to drain abscesses or boils, or prescribe certain antibiotics to which the bacteria are not resistant.

While many people get better, Bird said, some of his patients have had second and third recurrences...

Doctors See More Cases Of Tougher Infections..boils..Read More Here