Skin and soft tissue infections
Skin and soft tissue infections
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DOI：
10.1016/j.idc.2006.09.006
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发表时间：
2006-12-01
影响因子：
4.4
通讯作者：
Lartchenko, Serge
中科院分区：
文献类型：
--
作者：
Lopez, Fred A.;Lartchenko, Serge
原发性皮肤感染（即脓皮病）通常是由表皮的一些破裂引起的，导致通常定居在皮肤上的生物体（如化脓性链球菌和金黄色葡萄球菌）感染。宿主相关因素，如免疫抑制、血管病变、神经病变或淋巴引流减少，可能易诱发皮肤感染。与皮肤感染相关的临床综合征通常是特征性的，并且最简单地通过解剖分布来定义。尽管皮肤感染通常是轻微且自限性的，但可能更具侵袭性，并涉及更深的结构，包括筋膜和肌肉。这篇文章讨论了皮肤和软组织感染，包括脓疱病、毛囊相关感染（即毛囊炎、疖和痈）、丹毒、蜂窝织炎、坏死性筋膜炎、化脓性肌炎、脓毒性滑囊炎和腱鞘炎。
Primary skin infections (ie, pyodermas) typically are initiated by some breach in the epidermis, resulting in infection by organisms, such as Streptococcus pyogenes and Staphylococcus aureus, that normally colonize the skin. Host-associated factors, such as immunosuppression, vasculopathy, neuropathy, or decreased lymphatic drainage, may predispose to skin infection. The clinical syndromes associated with skin infections are often characteristic and are defined most simplistically by anatomic distribution. Although often mild and self-limited, skin infections can be more aggressive and involve deeper structures, including fascia and muscle. This article discusses skin and soft tissue infections, including impetigo, hair follicle-associated infections (ie, folliculitis, furuncles, and carbuncles), erysipelas, cellulitis, necrotizing fasciitis, pyomyositis, septic bursitis, and tenosynovitis.