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Bacterial Skin Diseases
VM 610 Midterm
67
Veterinary Medicine
Professional
11/11/2012

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Term
Pyoderma
Definition
pus in the skin
Staphyloccocus pseudointermedius for dogs
Pasteurella multicida for cats
Term
Normal Flora of Dogs
Definition
Staphyloccocus pseudointermedius
Staphyloccocus schleiferi
other Staph spp.
Term
Normal Flora of Cats
Definition
Pasteurella multocida
Staphylococcus aureus
other Staph spp.
Term
Resident Bacteria
Definition
have ability to live and multiply on skin
persist for long periods of time
may overgrow and cause infection when conditions are favorable
Term
Transient Bacteria
Definition
considered contaminants from animal's environment
do not multiply on skin
under normal conditions carried on skin for short period of time
opportunistic may cause infection
Term
Transient Bacteria of Dogs
Definition
Pseudomonas spp.
Proteus spp.
Mycobacterium spp.
Term
Transient Bacteria of Cats
Definition
Mycobacterium spp.
Term
Signs of Infection
Definition
consistent skin lesions
cocci in intact pustules
intracellular cocci
degenerate neutrophils
Term
Systemic Antibiotics
Definition
effective against specific bacteria
tissue distribution to the skin
minimum side effects
easy to give, cheap
continue tx 1-2 weeks beyond clinical cure (at least 21 days)
then healthy skin will fully replace the diseased skin by then
Term
Pyotraumatic dermatitis
Definition
hot spots
cute moist dermatitis
Term
Intertriginous pyodermas
Definition
fold pyoderma
Term
Causes of Pyotraumatic Dermatitis
Definition
allergic disease
fleas
ectoparasites
anal sac problems
otitis externa
irritants
foreign bodies
fur mats in coats
Term
Pyotraumatic Dermatitis Lesions
Definition
sharply demarcated circular/oval
red, moist, exudative
alopecic in the center
painful
hair around margins sticks to the lesion
may occur rapidly within hours
Term
Pyotraumatic Dermatitis Treatment
Definition
find and correct underlying cause
clip and clean
astringent with wet tea bags
short term oral prednisone to decrease pruritis
prevent continued self-trauma
systemic antibiotics if satellite lesions of folliculitis
rarely culture
Clavamox, Cephalexin, Cefpodoxime proxetil, Clindamycin
Term
Intertrigo
Definition
inflammation of body folds
skin surfces rub together
due to breed standards, obesity, skin thickening due to chronic inflammation
Term
Intertrigo Causes
Definition
glandular secretions get trapped
friction disrupts epithelium
creates an environment that favors bacteria and yeast overgrowth
micro-orgnisms break down sebum and debris and produce substances that are irritating and malodorous
Term
Intertrigo Places
Definition
lip folds
facial folds
vulvar folds
tail folds
body folds
Term
Intertrigo Treatment
Definition
correct fold if possible
clip hair
remove surface debris
topical anti-inflammatory, antibacterial, or antifungal agents
Term
Impetigo
Definition
overgrowth of organisms in normal flora of skin
affects puppies and kittens
coagulase positive Staph in puppies
Pasteurella multicida, B-hemolytic strept in kittens due to overzealous mouthing by queen
often secondary to parasitism, viral infection, dirty environment, poor nutrition
Term
Bulbous Impetigo
Definition
happens in older animals
often associated with immunosuppression and/or excessive corticosteroids
Term
Impetigo Lesions
Definition
nonfollicular pustule
nonpainful, generally nonpruritic
in dogs, happens in glabrous areas
in cats, back of neck and head
Term
Impetigo Treatment
Definition
may heal spontaneously
treatment speeds resolution
eliminate predisposing factors
topical antibiotic creams or shampoos
systemic antibiotics are rarely needed
Term
Superficial Bacterial Folliculitis
Definition
very common in dogs
due to Staph pseudintermedius
produce enterotoxins, toxic shock protein, protein A, hemolysins, and slime
animal can become allergic to these secretions
not virulent, usually due to an underlying disorder
Term
Superficial Bacterial Folliculitis Underlying Causes
Definition
hypersensitivity disorders
keratinization disorders
metabolic diseases
immune deficiency
follicular diseases
trauma, dry skin, poor grooming
Term
Superficial Bacterial Folliculitis Primary Infections
Definition
rare in animals with otherwise normal skin
caused by Staph
cured with appropriate antibiotics alone
do not recur for at lest 3-6 months
Term
Superficial Bacterial Folliculitis Secondary Infections
Definition
reoccur within a few weeks to months after stopping antibiotics
Term
Superficial Bacterial Folliculitis Lesions
Definition
pustule with hair protruding from center
follicular papules
hair areas feel bumpy
can progress to deep folliculitis, furunculosis, or cellulitis
variable pruritis
location of lesion may reflect the underlying cause
axillary and inguinal areas with hypersensitivy disorders
truncal with endocrine or metabolic disorders
epidermal collarettes (bacterial footprints)
hyperpigmentation
alopecia
Term
Superficial Bacterial Folliculitis Treatment
Definition
systemic antibiotics for a minimum of 21 days
treat 7 days past clinical cure
avoid steroids
identify and treat underlying conditions
topical medications, antiseptic shampoos, antimicrobial creams/gel
Term
Nasal Folliculitis and Furunculosis
Definition
acute onset
painful papules, pustules, and crusts
usually on bridge of nose
probably associated with local trauma or insect bite/sting
dolichocephalic breeds predisposed
Term
Nasal Folliculitis and Furunculosis Treatment
Definition
correct underlying cause
systemic antibiotics
gently topical antibacterial therapy
may need to use E collar to prevent scratching at lesions
Term
Juvenile Pyoderma
Definition
not really a bacterial disease
unknown etiolgy
possible a hypersensitivity reaction
possible hereditary component
happens in young dogs, short-coated breeds
Term
Juvenile Pyoderma Lesions
Definition
acute facial swelling, inflammation, pain
papules, pustules, purulent exudate
abscesses may open and drain
Term
Juvenile Pyoderma Systemic Lesions
Definition
submandibular and prescapular lymph nodes enlarged
often leaves scars after healing
lethargic and febrile
low incidence of concurrent joint pain
Term
Juvenile Pyoderma Treatment
Definition
clean lesions
astringent soaks (aluminum acetate)
oral corticosteroids
concurrent systemic antibiotics to prevent secondary infections
Term
Interdigital Pyoderma
Definition
paws are affected, often front feet worse
erythema, inflammation, swelling, nodules, ulcers, fistulae, bullae
hemorrhagic to purulent drainage
may be painful and result in lameness
Term
Interdigital Pyoderma Underlying Causes
Definition
many idiopathic
trauma
hypersensitivty
short-coated breeds have embedded hairs
foreign bodies
parasites
immune mediated diseases
irritant
Term
Interdigital Pyoderma Treatment
Definition
eliminate underlying disease
prevent trauma
antiseptic foot soaks
prolonged systemic antibacterial therapy
surgical debridement in severe cases
laser debridement of keratin plugged hair follicles
Term
Callus Pyoderma
Definition
associated with callus
alopecia, lichenification, hyperkeratosis, draining fistula
Term
Callus Pyoderma Causes
Definition
housed on hard surfaces
repeated trauma at pressure points to form callus
callus is a poor barrier to infection
Term
Callus Pyoderma Treatment
Definition
prevent trauma
systemic antibiotcs
Term
German Shepherd Dog Folliculitis, Furunculosis, Cellulitis Lesions
Definition
pruritic and painful
lesions initially follicular papules, pustules, erosions, crusts
progress to ulcers, fistulas, alopecia, and hyperpigmentation
peripheral lymphadenopathy
Term
German Shepherd Dog Folliculitis, Furunculosis, Cellulitis
Definition
familial in German Shepherds and mixes
middle aged dogs
underlying skin disease (flea, allergy, atopy)
Term
German Shepherd Dog Folliculitis, Furunculosis, Cellulitis Treatment
Definition
identity and treat any underlying disease
long term systemic antibiotics
immunostimulants
Term
Subcutaneous Abscesses Lesions
Definition
small wound that seals quickly
traps local infection under skin
abscess develops
Term
Subcutaneous Abscesses Causes
Definition
uncommon in dogs, common in cats
bite wounds
abscessed teeth
foreign bodies
due to P. multocida, Staph pseudintermedius, beta hemolytic strep
Term
Subcutaneous Abscesses Treatment
Definition
surgical drainage and flushing
systemic antibiotics
test for FIV/FeLV
Term
Aerobic Cellulitis Lesion
Definition
poorly demarcated subcutaneous swelling
edema
overlying skin may be swollen, necrotic, friable, dark, or devitalized
Term
Aerobic Cellulitis Causes
Definition
skin infection caused by bacteria
result of tissue injury
sequela to deep folliculitis and furunculosis
often involves Strep pseudintermedius
Term
Aerobic Cellulitis Treatment
Definition
treat underlying cause
drainage, debridement, antiseptic soaks, systemic antibiotics
Term
Anaerobic Cellulitis Lesion
Definition
more severe than aerobic cellulitis
poorly demarcated tissue edema, swelling, and necrosis
can see and feel gas production under the skin
Term
Anaerobic Cellulitis Causes
Definition
bite wounds
traumatic puncture wounds
foreign bodies
Bacteroides, Peptostreptococcus, Fusobacterium, Prophyromaonas, Clostridium, Prevotella
Term
Anaerobic Cellulitis Treatment
Definition
surgical drainage and debridement
antiseptic soaks
systemic antibiotics
wet dressings to improve drainage
Term
Perianal Pyoderma/Fistulas
Definition
primarily occur in German Shepherds
fistulous tracts
painful
strain to defecate
often no direct communication between anal sac or anus
Term
Perianal Pyoderma/Fistulas Causes
Definition
possible immune mediated that quickly becomes secondarily infected
food allergies
Term
Perianal Pyoderma/Fistulas Treatment
Definition
systemic antibiotics
cyclosporin (give with ketoconazole to lower the dose and the cost)
topical tacrolimus
corticosteroids
debridement
Term
Muzzle Folliculitis/Furunculosis Lesions
Definition
occurs on chin and lips of young dogs
hairless follicular papules
ulcerate, exudate, crusts, alopeci
Term
Muzzle Folliculitis/Furunculosis Cause
Definition
unknown
bacteria are secondary
occurs primarily in short coated breeds
may be a form of acne
Term
Muzzle Folliculitis/Furunculosis Treatment
Definition
minimize local trauma
topical benzoyl peroxide
topical astringents and antiseptics
mild topical corticosteroids
Term
Nocardiosis Lesion
Definition
occurs in skin, lungs, or systemically
cellulitis, subcutaneous nodules, abscesses, fistulous draining tracts
thick hemorrhagic malodorous exudate
mostly affects limbs and feet with lymphadenopathy
cats may have lesion on abdomen
Term
Nocardiosis Cause
Definition
Nocardia species
need to pick up on acid fast stain or gram stain to see (difficult)
see Gram + branching filamentous aerobes
common soil saprophyte
causes infection through wound contamination, ingestion, inhalation
Term
Nocardiosis Treatment
Definition
surgical drainage
varying antimicrobial sensitivity
continue treatment for 1 month past clinical cure
Term
Feline Leprosy Cause
Definition
Mycobacterium lepraemurium
possibly transmitted by rats
there are insect vectors
Term
Feline Leprosy Lesions
Definition
affects cats 1-3 years old
ulcers, abscesses, fistulas, plaques, nodules
affects head and extremities
sometimes nasal or oral mucosa affected
regional lymphadenopathy
no systemic illness
more common in winter months
Term
Feline Leprosy Treatment
Definition
surgical excision
Clofazimine + rifampin or clarithromycin
Term
Opportunistic Mycobacterial Granulomas Lesion
Definition
often in cats
chronic subcutaneous abscesses and fistulas
usually in caudal abdominal, inguinal, or lumbar regions
may be painful
solitary lesions usually are not systemically ill
immune suppressed may have widespread lesions and systemic illness
Term
Opportunistic Mycobacterial Granulomas Cause
Definition
cat bites or puncture wounds
Term
Opportunistic Mycobacterial Granulomas Treatment
Definition
spontaneous remission
most need long term treatment
surgical excision
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