Microbial diseases of the skin, the eye and cardiovascular system
Skin diseases are among the most numerous in humans because the skin is constantly exposed to the
environment.
NORMAL MICROBIOTA OF THE SKIN
Gram(+) bacteria
staphylococci and micrococci
some these can survive at 7.5% NaCl (Sodium chloride/salt)
diphtheroids
Propionobacterium acnes ( a Gram-positive bacterium that forms
part of the normal flora of the skin)
Corynebacterium xerosis
Yeasts
Pityrosporum ovale
in oily skin and responsible for dandruff
SKIN lesions
Vesicle
small, fluid-filled lesions
Bullae
vesicles larger than about 1 cm in diameter
Macules
flat, reddened lesions
Papules
raised lesions; with pus – pustules
RASHES
Exanthem
-a skin rash that arises from disease conditions
Enamthem
-a rash on mucous membranes
BACTERIAL DISEASES OF THE SKIN
Staphylococcal Skin Infections
caused by staphylococci
cocci in clusters like grapes
Coagulase-positive
Staphylococcus aureus
Coagulase-negative
Staphylococcus epidermidis
1. Staphylococcus epidermidis
90% normal microbiota of the skin
generally pathogenic only when the skin barrier is broken or is invaded by
medical procedures
able to form a slime layer of capsular material called biofilm.
2. Staphylococcus aureus
most pathogenic
Virulent Factors
coagulase
coagulates blood to protect them from phagocytosis
leukocidin - kills leukocytes(white blood cell)
exfoliative toxin - peeling-off of skin
enterotoxin - food poisoning
3. Streptococcal Skin Infections
caused by streptococci
cocci in chain
Virulent Factors
hemolysins - destroy RBCs
alpha-hemolytic, beta-hemolytic, and gamma-hemolytic
groups
beta-hemolytic - complete hemolysis
most pathogenic
Folliculitis
hair follicles
often occur as pimples
IP: 4-10 days
P/C: good hygiene
Sty
infected follicle of an eyelash
Furuncle or Boil
more serious hair folliculitis
a type of abscess
Carbuncle
hard, round deep inflammation of tissue under the skin
Impetigo of the Newborn
thin-walled vesicles on the skin that rupture and later crust over
Scalded Skin Syndrome
skin of the affected areas peels off in sheets
exfoliative toxin
toxemia
Beta-hemolytic streptococcus
Subdivided further according to antigenic carbohydrates in their cell walls
GROUP A BETA-HEMOLYTIC
subdivided according to the antigenic properties of the M Protein found in
some strains
anti-phagocytic properties
for adherence and colonization of mucous membranes
Pseudomonas dermatitis
Self-limiting rash of about 2 weeks’ duration
Often associated with swimming pools, pool-type saunas, and hot tubs
Otitis externa
Acne
3 Categories
1. Comedonal Acne
Occurs when sebum channels are blocked with shed cells (whiteheads) and
(blackheads)
2. Inflammatory Acne
Propionibacterium acnes
anaerobic
Papules and pustules
Isotretinoin
Benzoyl peroxide
3. Nodular Cystic Acne
Nodules or cysts
Inflamed lesions filled with pus deep within the skin
Isotretinoin
VIRAL DISEASES OF THE SKIN
1. warts
Papillomas
Papilloma virus
Benign skin growth
Treatment:
o Cold liquid nitrogen
o Topical drugs
o Burn with acids
2. Smallpox
Variola
Variola virus
Variola major
Variola minor
Respiratory route
Infect many internal organs
3. chickenpox
Varicella
Vesicular lesions fill with pus
Face, throat, lower back, chest, shoulders
Respiratory route
Result of an initial infection with herpes varicella-zoster
4. Fever blisters
Cold Sores
Herpes Simplex Virus-1
Painful, short-lived vesicles occur near the outer margin of the
lips
Respiratory route or oral route
5. measles
Rubeola
contagious
o Macular rash on the face and spreading to the trunk and
extremities
Respiratory route
Prevented by MMR
6. German measles
Milder than rubeola
Macular rash of small red spot with slight fever
Respiratory route
Prevented by MMR
FUNGAL DISEASES OF THE SKIN
Cutaneous mycoses
Dermatophytes
Fungi colonize the hair, nails, and the outer layer of the epidermis
Grow in the keratin present
Dermatomycoses
Tineas or ringworms
Trichophyton – hair, skin, or nails
Microsporum – hair or skin
Epidermophyton – skin and nails
Subcutaneous mycoses
Sporotrichosis
Sporothrix schenckii
inhabit the soil, especially decaying vegetation
Small ulcerations on the hands
Candidiasis
Candida albicans
normal microbiota
oral thrush or oral candidiasis
overgrowth of the fungi
Miconazole, nystatin
Parasitic infestation of the skin
1. scabies
Sarcoptes scabiei
tiny mite
Burrowing under the skin to lay eggs
Intense local itch
Permethrin insecticide
Ivermectin drug
2. pediculosis
Pediculus humanus capitis
Head louse
Pediculus humanus corporis
Body louse
Permethrin insecticide
Microbial diseases of the eye
1. conjunctivitis
Inflammation of the eye membrane
Commonly called as pinkeye or redeye
Hemophilus influenzae
Adenoviruses
Contact lenses
2. Neonatal gonorrheal Ophthalmia
Neisseria gonorrheae
Acquired as the infant passes through the birth canal
Silver nitrate
Antibiotics
Diluted povidone iodine
3. Trachoma
Chlamydia trachomatis
Can also cause inclusion conjunctivitis in infants when passing the birth canal
Corneal scarring and turned-in eyelashes
4. Herpetic keratitis
Herpes Simplex Type 1 Virus
Infection of the cornea
Infectious blindness
5. Acanthamoeba keratitis
Acanthamoeba species
Fresh water, tap water, hot tubs, soil
Contact lenses
1. Tinea capitis
Ringworm of the scalp
2. Tinea cruris
Ringworm of the groin
Jock Itch
3. Tinea pedis
Ringworm of the feet
Athlete’s foot
4. Tinea unguium
Ringworm of the nails
Onycho-mycosis
Microbial Diseases of the Cardiovascular
Endocarditis
nflammation of your heart's inner lining, called the endocardium. It's usually
caused by bacteria. When the inflammation is caused by infection, the
condition is called infective endocarditis.
Pericarditis
Inflammation of the pericardium, the thin sac (membrane) that
surrounds the heart.
Streptococci
Streptococci are gram-positive aerobic organisms that cause many
disorders, including pharyngitis, pneumonia, wound and skin infections,
sepsis, and endocarditis.