Welcome. My name is Divine. This is episode 570 of the Divine Intervention Podcasts.

In today's podcast, we're going to be focused on, I'd like to title this, the Clutch Skin and Soft Tissue Infections Podcast.

The Clutch Skin and Soft Tissue Infections Podcast. This podcast is certainly useful for step one all

the way to step three. so you should listen to it

this stuff is going to show up on your exam so if you don't learn it you're i guess you're lost

all right so let's just jump right into it so what if they give you a question about a patient

uh you're told that this person is a 20 let's say a 10 year old child and for the last two days, this child, his parents say, has been having fevers and you're showing a picture or they describe this, that this child has this painful lesion on his face is very red, bright red, right?

And he has very distinct bothers and it's elevated.

It's an elevated lesion.

What should you be thinking about on your exams?

Well, I hope you're saying, oh, divine, this sounds an awful lot like erysipolis.

Remember, aerosipolis is actually quite common.

And again, typically on the USMLEs, what's going to be the cause?

What's going to be the primary cause of Erecipilus?

Well, the primary cause is going to be group A strep, right?

So strep biogenes.

But if you don't see group A strep as an answer, then you can pick staff for us as an answer.

That's usually a smart thing to do.

And then you may be asked, oh, what's the most appropriate next step in pharmacotherapy?

Well, the most appropriate next step is going to be some kind of antibiotic, right? So,

generally, you want to use some kind of cell wall inhibitor. So you can use something like penicillin.

You can use amoxicillin. You can even use the antibiotic use for mastitis, dichloxaccelin, right? You can certainly use those, right? So, and the thing is, again, if that's all the child has or that's all, because it's not only kids that can get erasipolis, adults can certainly get her cephalus. So if they're relatively stable, no problems, then just kind of leave it at that.

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