Skin abscess: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
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{{SSTI DDX}} | {{SSTI DDX}} | ||
Revision as of 12:15, 28 April 2016
Background
Clinical Features
- Fluctulance
Differential Diagnosis
- Cyst
- Vascular malformation
Skin and Soft Tissue Infection
- Cellulitis
- Erysipelas
- Lymphangitis
- Folliculitis
- Hidradenitis suppurativa
- Skin abscess
- Necrotizing soft tissue infections
- Mycobacterium marinum
Look-A-Likes
- Sporotrichosis
- Osteomyelitis
- Deep venous thrombosis
- Pyomyositis
- Purple glove syndrome
- Tuberculosis (tuberculous inflammation of the skin)
Diagnosis
Work-up
- Ultrasound can be helpful
Evaluation
- Generally clinical diagnosis, may be assisted by ultrasound (above)
Management
- Incision and drainage
- Antibiotics
- TMP/SMX x 5 days (all abscesses)[4]
- Consider more aggressive antibiotic treatment if concomitant cellulitis
Disposition
See Also
External Links
References
- ↑ Maligner D et al. The prevalence of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) in skin abscesses presenting to the pediatric emergency department. N C Med J. 2008 Sep-Oct;69(5):351-4.
- ↑ Pickett A et al. Changing incidence of methicillin-resistant staphylococcus aureus skin abscesses in a pediatric emergency department. Pediatr Emerg Care. 2009 Dec;25(12):831-4.
- ↑ Bradley W. Frazee et al. High Prevalence of Methicillin-Resistant Staphylococcus aureus in Emergency Department Skin and Soft Tissue Infections http://dx.doi.org/10.1016/j.annemergmed.2004.10.011
- ↑ EBQ:TMP-SMX vs Placebo for Uncomplicated Skin Abscess