Skin & Soft Tissue Infections: It's More Than Just MRSA
Skin and soft tissue Infections (SSTIs) encompass a broad range of pathologies and represent a significant reason for outpatient visits. It is important to distinguish between complicated and uncomplicated SSTIs, which differ in terms of its presentation, severity, and treatment options. Uncomplicated SSTIs can present as furuncles, carbuncles, cutaneous abscesses, or cellulitis, whereas complicated SSTIs are deeper, with the potential of systemic issues. Complicated SSTIs include necrotizing fasciitis, resulting in emergent surgical treatment. Imaging studies, such as plain X-rays, MRI, or CT scan, can be performed to rule out underlying issues that can alter the course of treatment. It is important to note that MRSA can cause both complicated and uncomplicated SSTIs and need to be considered as an etiology in both situations. Immunocompromised patients are a special population that requires swift identification and management, recognizing their atypical presentation and propensity for rapid decline. Successful treatment of SSTIs is crucial to diminish the likelihood of complications and hospital admissions.