Criterios de sospecha y diagnóstico de las infecciones cutáneas

  1. Muñoz, L. Campos
  2. Guerra, E. González
  3. Muñoz, J. Pedraz
  4. López-Bran, E.
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2018

Título del ejemplar: Enfermedades de la piel (I) Semiología, dermatosis físicas y tumores cutáneos

Serie: 12

Número: 47

Páginas: 2821-2824

Tipo: Artículo

DOI: 10.1016/J.MED.2017.12.011 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

Types Skin infections are increasing in frequency and severity and can be classified into 3 large groups: bacterial, fungal and viral. Treatment Most bacterial infections, of typical clinical presentation, can be treated empirically. If there is doubt as to the diagnosis, a sample of the lesion is obtained for gram stain and culture. Necrotising fasciitis is an exception because if suspected, an exploratory fasciotomy and culture of exudate are compulsory. Diagnosis A diagnosis of herpes simplex virus infection is usually clinical, but if there is any doubt a culture or PCR should be obtained. Human papilloma virus infections are also usually diagnosed clinically, and biopsies and histological tests performed if in doubt. Direct examination is recommended with fungal skin infections, visualisation rapidly confirms the fungal structure, and then a culture should be obtained to confirm the species.

Referencias bibliográficas

  • Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis. 2014;59(2):147-59.
  • McClain SL, Bohan JG, Stevens DL. Advances in the medical management of skin and soft tissue infections. BMJ. 2016;355:i6004.
  • Esposito S, Bassetti M, Concia E, De Simone G, De Rosa FG, Grossi P. Diagnosis and management of skin and soft tissue infections (SSTI). A literature review and consensus statement: an update. J Chemother. 2017;29(4):197-214.
  • Ramdass P, Mullick S, Farber HF. Viral skin diseases. Prim Care Clin Office Pract. 2015;42:517-67.
  • Karnes JB, Usatine RP. Management of external genital warts. Am Fam Physician. 2014;90(5):312-8.
  • Gupta AK, MacLeod MA, Foley KA, Gupta G, Friedlander SF. Fungal skin infections. Pediatr Rev. 2017;38(1):8-22.
  • Pihet M, Le Govic Y. Reappraisal of conventional diagnosis for dermatophytes. Mycopathologia. 2017;182(1-2):169-80.
Fuente de los datos: Dialnet