Facial cellulitisFacial cellulitis
١٣٩�/٠٩/١٨ ١٨
PreseptalPreseptal cellulitiscellulitis
� Infection of the eyelids anterior to theorbital septum
� Erythema, tenderness and edema of theeyelidseyelids
� No restricted or painful ocular motility,decreased vision, and proptosis
١٣٩�/٠٩/١٨ ١٩
PreseptalPreseptal cellulitiscellulitis
١٣٩�/٠٩/١٨ ٢٠
PreseptalPreseptal cellulitiscellulitis
١٣٩�/٠٩/١٨ ٢١
PreseptalPreseptal cellulitiscellulitis� Types:◦ Posttraumatic: S. aureus, S. pyogenes◦ Nontraumatic: S. pneumoniae, H. influ type b(
2-3% meningitis)T� Treatment:◦ Posttraumatic: clindamycin◦ Nontraumatic:� LP in systemic toxicity and extremely young
children� Clindamycin+ ceftriaxone
١٣٩�/٠٩/١٨ ٢٢
ImpetigoImpetigo� Superficial bacterial infection that that progress
from papules to vesicles, pustules, and crusts� Nonbullous :◦ Rapidly progress from vesicle to pustule◦ Few to 10 mm size◦ margin of erythema,g y ,◦ honey colored crust,◦ sometimes adenopathy and spread to exposed area
� Bullous:◦ Small vesicle that progress to flaccid painless bulla> 1
cm◦ Erythematous moist base after rupture
١٣٩�/٠٩/١٨ ٢٣
NonNon bullous impetigobullous impetigo
١٣٩�/٠٩/١٨ ٢
Multiple non bullous impetigoMultiple non bullous impetigo
١٣٩�/٠٩/١٨ ٢�
BullousBullous impetigoimpetigo
١٣٩�/٠٩/١٨ ٢
Bullous impetigoBullous impetigo
١٣٩�/٠٩/١٨ ٢٧
Treatment of impetigoTreatment of impetigo
� Topical mupirocin (10-14 d):◦ localized nonbullous
� Oral cephalexine, clindamycin, co-trimoxazol :trimoxazol :◦ Streptococcal ( bullous)◦ Widespread◦ Perioral (licked off)◦ Deep (cellulitis, abscess, or lymphadenitis)
١٣٩�/٠٩/١٨ ٢٨
EcthymaEcthyma
� An ulcer with elevated margins( till 4 cm)� A vesicle or pustule that erodes the
dermis� The ulcer obscured by dry adherent crust� The ulcer obscured by dry, adherent crust� Autoinoculation� Mostly on the legs� GABHS� Penicillin+ warm compresses
١٣٩�/٠٩/١٨ ٢٩
EcthymaEcthyma
١٣٩�/٠٩/١٨ ٣٠
١٣٩�/٠٩/١٨ ٣١
FolliculitisFolliculitis� Superficial infection of the hair follicles with
purulent material� Small, dome-shaped pustules with an
erythematous base� Scalp, buttocks, and extremities� Poor hygiene, maceration, and shaving of the legsPoor hygiene, maceration, and shaving of the legs� Most often S. aureus� Treatment:◦ mild cases: topical mupirocin, tetracyclin, or
clindamycin BID◦ more severe cases:
� culture� Oral dicloxacillin, or cephalexin.
١٣٩�/٠٩/١٨ ٣٢
FolliculitisFolliculitis
١٣٩�/٠٩/١٨ ٣٣
FolliculitisFolliculitis
١٣٩�/٠٩/١٨ ٣