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Multimicrobial Skin Infection and Staphylococcal Infection

Multimicrobial Skin Infection and Staphylococcal Infection

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Case 1:

Painful erosions developed on the sole of a 14-year-old girl's foot several weeks
earlier. Within the last few days, the condition has spread to the other sole.
The patient is otherwise healthy and takes no medications. She enjoys playing
soccer and has no history of trauma.

Do you recognize this condition?

A. Tinea pedis.
B. Dyshidrosis.
C. Staphylococcal infection.
D. Streptococcal infection.
E. Candidiasis.

Your treatment plan includes . . .

F. An oral cephalosporin.
G. An imidazole antifungal cream.
H. An allylamine antifungal cream.
I. Mupirocin cream.
J. A topical corticosteroid cream.

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Case 2:

After a basketball game 1 week earlier,
a 10-year-old boy was bothered by a
blister on his heel. Subsequently, the
lesion became sore and red. During
the last 2 days, an asymptomatic,
rough rash has erupted over most of
the child's body. He has a low-grade
fever and has been taking ibuprofen
for the pain in his heel.

What are you looking at here?

A. An adverse reaction to the
ibuprofen.
B. Urticaria.
C. Scarlatiniform eruption.
D. Infectious mononucleosis.
E. Toxic shock syndrome.

Your initial strategy is to . . .

F. Stop the ibuprofen.
G. Perform a monospot test.
H. Prescribe a systemic corticosteroid.
I. Prescribe an antistreptococcal
antibiotic.
J. Prescribe an antistaphylococcal
antibiotic.

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