Ecthyma

Ecthyma is a skin infection similar to impetigo, but more deeply invasive. It usually occurs in people with reduced immune function (immunocompromised). It is a deep form of impetigo as the same bacteria causing the infection are involved but ecthyma causes deeper erosions of the skin Mortality rates of patients affected by ecthyma gangrenosum depends on the severity of the underlying sepsis, with mortality ranging from 38% to 96%. It typically involves the extremities, gluteal and perineal regions. An ecthyma may begin with a pus-filled blister, similar to that seen in impetigo. However, the infection goes through the outer layer of skin and into the deeper layer. This disease is a life-threatening septicaemic infection and has a high mortality. The infection may start at the site of an injury, such as a scratch or insect bite, and is often found on the legs. While a few case reports describe the development of EG in previously healthy children, most of these patients had previously unrecognized risk factors for the development of EG, including intra-abdominal or appendiceal abscesses, recent viral illness, or antibiotic treatment for underlying medical conditions such as hypogammaglobulinemia and neutropenia. Treatment should include prompt recognition of the skin lesion, appropriate antibiotic therapy for Pseudomonas aeruginosa, and surgical debridement.

Causes of Ecthyma

Come Causes and risk factor's of Ecthyma include the following :

Ecthyma can be seen in areas of previously sustained tissue injury (eg, excoriations, insect bites, dermatitis).
Xanthomonas maltophilia.
Herpes simplex virus.
Staphylococcus bacteria.
Pseudomonas aeruginosa bacteremia.

Symptoms of Ecthyma

Some Symptoms of Ecthyma :

Fever.
Shortness of breath.
Children with EG may develop diarrhea.
A small blister that may be pus-filled and has a reddish border.
A crusted ulcer that follows the appearance of the blister.

Treatment of Ecthyma

Oral antibiotics such as Cloxacillin or Keflex are often required .
Surgical interventions may be needed if ecthyma manifests as a necrotizing soft-tissue infection.
Antiseptic soap or peroxide washes of the lesion may be helpful in speeding recovery.
Other combinations with a similar therapeutic spectrum, such as double beta-lactams or a beta-lactam plus a quinolone, have been used by some investigators.
Prompt recognition of the skin lesion, appropriate antibiotic therapy for Pseudomonas aeruginosa.

Nails Care

Anychia
Clawing of the Nails
Clubbing
Discoloration of the Nail Plate
Ingrowing Toe Nail
Koilonychia
Longitudinal Striations
Loss of Nail Plate
Onycholysis
Paronychia
Pitting of Nail Plates
Pterygium
Thickening of Nail Plate
Transverse Ridges

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