Transcript Is it a spider bite or an infection?

Is it a spider bite or an
infection?
Brian M. Bourgeois, M.D., F.A.C.S.
Westbank Industrial Medicine
Cellulitis
 Infection
of the skin and its appendages
 Progresses through the layers of skin
 Involves transgression of epidermis by
external source
 Introduction of native or foreign bacteria
Cellulitis
 Recognition
 Treatment
– first line vs. second line
 Surgical drainage
 Outpatient vs. inpatient
 Antibiotics
Pathogens
aka. offenders
 Staph.
 Strep.
 Vibrio
 Tetanus
 MRSA
MRSA
 Methicillin
resistant Staph. Aureus
 Appropriate treatment
 Carrier state
 Prevention
 Damage control
Spider Bite
 Brown
recluse
 Frequency
 Recognition
 Treatment
 Prevention
Brown Recluse
What’s the Hubbub?
 Necrosis
 Secondary
 Tissue
loss
 Outcome
infection
Skin Care/Barrier Protection
 Mechanical
agent
 Soaps
 Chemicals
 Surveillance
MYTHS and FACTS
 All
infectons are due to spider bites
 All spider bites cause infections
 These infections are resistant to
antibiotics
 Infections are contagious
 Patients require significant operations