Global Healthcare Leadership Papers.

The physician suspects a fungal infection. If this is a fungal infection, what is her specific diagnosis?

The patient’s diagnosis will be made clinically and will be confirmed by histopathology and further examination will be done to exclude other causes of itchy lesions and the burning sensations and to look for any underlying causes and also, she may be diagnosed with a target lesion with a careful medical history and full skin examination (Target and targetoid Lesions | DermNet NZ, 2018).

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How is this type of fungal infection spread?

Fungal infection is spread through direct skin-to-skin contact or by sharing personal items or by being in contact with contaminated skin cells or hair that’s shed.

What type of treatment will be necessary?

Antifungal drugs will be effective for the treatment of fungal infection in the form of pills, powders, or creams.

How can Ms. Rodriguez prevent future fungal infections?

Ms. Rodriguez should practice good hygiene, avoid sharing her items and stay away from animals with signs of fungal infection to avoid contracting a fungal infection in the future.

Who is most at risk for this type of fungal infection?

Patients with a weak immune system and those taking antibiotics are prone to fungal infection.

What is the scientific name of the louse found in this case?

The scientific name of this louse is Pediculus humanus capitis De Geer (body louse and head louse, Pediculus spp., 2018).

What does “excoriation” mean?

Excoriation refers to a place where the skin is abraded or scraped. And is characterized by repetitive and deliberate scratching, digging, picking, or squeezing of the skin resulting in tissue damage.

Explain how this infection is different from scabies.

This infection is different from scabies since the itching of the scalp occurs at all times of day while in scabies itching is often worse at night and is not on the neck or head area.

What type of treatment will be necessary?

Permethrin lotion is effective for head louse treatment for it kills live lice and after some days another prescription is made to kill unhatched eggs.

What does “parasitic” mean?

Parasitic means infections that are due to protozoa arthropods or helminths for they depend on other organisms and takes their nourishments.

What is the cause of osteomyelitis?

Osteomyelitis is caused by staphylococcus bacteria, which are types of germs mainly found on the skin or in the nose of even healthy persons. These germs enter a bone through the bloodstream.

Which diagnostic tools might the physician consider to confirm the diagnosis of osteomyelitis?

The right diagnostic criteria for this condition are conducting a bone biopsy in the bone necrosis setting or magnetic resonance imaging.

How is osteomyelitis treated?

Surgery is the major treatment for osteomyelitis to remove portions of bone that are dead or infected and afterward intravenous antibiotics are given by the physician (Osteomyelitis, 2019).

Why was Mr. Daniels’ WBC count elevated?

Mr. Daniels WBC count elevated indicating an increase in white blood cells to fight infections in the injury, or due to a reaction to drugs (ibuprofen) which is causing an increase in white blood cell production.

List and describe two possible complications of osteomyelitis.

Osteomyelitis has various possible complications including bone abscess and this may cause infection in the injury since germs can easily travel through the bloodstream and even bone necrosis for the affected bone may die and never function.

References

body louse and head louse, Pediculus spp. (2018). Entnemdept.ufl.edu. http://entnemdept.ufl.edu/creatures/urban/human_lice.htm

Fungal Skin Infection: Types, Treatment, Prevention. (2020, January 7). Healthline. https://www.healthline.com/health/fungal-skin-infection#prevention

Osteomyelitis. (2019). https://www.betterhealth.vic.gov.au/health/ConditionsAndTreatments/osteomyelitis?viewAsPdf=true#:~:text=Some%20of%20the%20complications%20of

Target and targetoid Lesions | DermNet NZ. (2018). Dermnetnz.org. https://dermnetnz.org/topics/target-and-targetoid-lesions/

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