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Toxic Shock Syndrome and Necrotizing Fasciitis (Flesh-Eating Disease)

by Carlo Raj, MD

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    00:01 Here we’ll take a look at toxic shock syndrome of staphylococcal type.

    00:05 Your patient will be suffering from fever, hypertension, erythema following staphylococcal infection due to a superantigen produced by the bacteria.

    00:15 Superantigen produced by the bacteria.

    00:19 Most commonly seen in women using tampons, do not forget this.

    00:23 You see this, I wanna say it quite commonly, but often enough in which the tampon has been inserted and has been lying around for too long and unfortunately is introducing a staph infection, and no joke.

    00:40 Management - clindamycin for the toxin production; vancomycin, nafcillin to kill the staph. Make sure that you know this in great detail.

    00:50 Topic here is necrotizing fasciitis.

    00:57 A necrotizing fasciitis, what is it? A necrotizing infection of the deep subcutaneous tissue - look, at this, it is not pretty.

    01:06 Type I, mixed aerobic anaerobic bacteria most common in diabetics; and type II think of MRSA, a group A streptococci mostly commonly otherwise healthy patients.

    01:20 Two types of fasciitis think of the fascia, the deep portion of your subcutaneous that then undergoes infection.

    01:30 Type I - mixed, type II - group A streptococci.

    01:35 Management surgical debridement of involved fascia, antibiotics for type I suspected would then be ampicillin-sulbactam; Type II clindamycin penicillin G or vancomycin if it’s MRSA.


    About the Lecture

    The lecture Toxic Shock Syndrome and Necrotizing Fasciitis (Flesh-Eating Disease) by Carlo Raj, MD is from the course Infectious Skin Diseases. It contains the following chapters:

    • Toxic Shock Syndrome
    • Necrotizing Fasciitis

    Included Quiz Questions

    1. The presence of S. aureus with fever, erythema and hemodynamic compromise
    2. The presence of Streptococcus with fever, erythema and hemodynamic compromise
    3. The presence of a tick fever, erythema and hemodynamic compromise
    4. A remote history of an allergic reaction with fever, erythema and hemodynamic compromise
    5. The presence of fungi with fever, erythema and hemodynamic compromise
    1. Immunocompromised
    2. Immunocompetent
    3. Women and Men over 65
    4. Only in children under age 13
    5. Only in non diabetics

    Author of lecture Toxic Shock Syndrome and Necrotizing Fasciitis (Flesh-Eating Disease)

     Carlo Raj, MD

    Carlo Raj, MD


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    talented
    By Sam s. on 15. July 2018 for Toxic Shock Syndrome and Necrotizing Fasciitis (Flesh-Eating Disease)

    great explanation Few people have a talent in teaching. i think Dr Raj is one of them thank you so much

     
    Great overview. Wish that dermatology covered more topics, though.
    By Shakera S. on 17. October 2017 for Toxic Shock Syndrome and Necrotizing Fasciitis (Flesh-Eating Disease)

    Great overview. Wish that dermatology covered more topics, though. I enjoyed this overall. I like the transcript section. It allows me to review the material and read the speakers words verbatim. This is wonderful for all types of learning.