SciELO - Scientific Electronic Library Online

 
vol.7 número1Gastritis aguda por Anisakis¿Será sólo una cuestión de frío? índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Não possue artigos similaresSimilares em SciELO
  • Em processo de indexaçãoSimilares em Google

Compartilhar


Revista Clínica de Medicina de Familia

versão On-line ISSN 2386-8201versão impressa ISSN 1699-695X

Resumo

GOMEZ GONZALEZ, Carlos; GONZALEZ CARRERAS, Christian  e  ZAMBRANO CENTENO, Luz Belén. Polymicrobial skin infections requiring a multidisciplinary approach. Rev Clin Med Fam [online]. 2014, vol.7, n.1, pp.59-62. ISSN 2386-8201.  https://dx.doi.org/10.4321/S1699-695X2014000100010.

A male patient aged 52 visits the outpatient clinic referring intense itching in his right foot over 15 days. Personal history: hypercholesterolemia, hypertriglyceridemia and urethral stenosis under dilatation therapy. Hip replacement surgery due to fracture and multiple surgical interventions in both feet due to fractures occurred in a traffic accident. At present he is on permanent therapy with simvastatin plus omega-3 fatty-acid. He is independent for daily life activities and lives in a small town 35 km away from the closest hospital center. Physical examination: Redness in the dorsal area and interdigital area from the third to fifth toe in his right foot accompanied by maceration with no presence of toenail onychomycosis. Complementary tests: skin samples of ulcerous lesions were obtained for culture, showing infection with Pseudomonas aeruginosa, Methicillin resistant Staphylococcus aureus and Enterococcus faecalis. Differential diagnosis: Intertrigo, tinea pedis, inverse psoriasis, erytharsma, candidiasis. Discussion: Skin infections are very frequent in primary care and a correct differential diagnosis is necessary and the pertinent complementary tests should be carried out before starting therapy. The use of ambulatory intravenous antibiotic therapy can be an appropriate option in these cases.

Palavras-chave : Skin Diseases; Infectious; Intertrigo; Primary Health Care.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )

 

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons