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Micro Buzzwords for Dermatology Below are listed some common buzz words and phrases that are associated with specific microorganisms. These can often be found in clinical case scenario questions. Please fill out the specific organism next to the buzz word. Buzz word Bacillary angiomatosis Bipolar staining Gram-negative rod Broad-based budding yeast Bull’s-eye rash Butterfly facial rash Copper-colored rash Dewdrops on a rose petal Fifth disease Fish tank granuloma Flesh-eating bacteria Honey-crusted lesions Hot tub folliculitis Koplik spots Lacy body rash Papular/pustular rash with different stages Pustular rash all in same stage Rabbit fever Rash on hands/feet spreads to trunk Rash starts behind ears, spreads down body Romaña sign Rose gardener disease Sandpaper rash Organism Bartonella spp. Yersinia pestis (?) Blastomyces dermatitidis Erythema chronicum migrans, lyme disease, Borrelia burgdorferi Lupus, Seborrhoeic dermatitis, Erysipelas Congenital syphilis Chicken pox, Varicella Erythema infectiosum, parvovirus B19, “slapped cheeks” “aplastic anemia” note: in adults in usually has some arthritis Mycobacterium marinum Necrotizing fasciitis (3 common pathogens: Streptococcus pyogenes, Staphylococcus aureus, Clostridium perfringens) Impetigo = most common bacterial infection in children. Limited to the superficial layers of the epidermis. Usually caused by: Streptococcus pyogenes or Staphylococcus aureus Pseudomonas aeruginosa Measles (clustered, white lesions on the buccal mucosa opp the lower 1st and 2nd molars) Parvovirus B19 (Fifth disease) Varicella, chickenpox Small pox Francisella tularensis (gram negative) Rocky Mountain Spotted Fever (Rickettsia rickettsii) Rubella Chagas’ disease acute stage can manifest with unilateral periorbital swelling. Trypanosoma cruzi Sporothrix schenckii Scarlet fever, Streptococcus pyogenes Slapped cheek fever Spaghetti and meatballs Tzanck smear Wool-sorter disease Parvovirus B19 (Fifth disease) Tinea versicolor Scraping of an ulcer base to look for multinucleated giant cells. Seen in Herpes simplex but also varicella and others. Bacillus anthracis Some random fungi Mycobacterium marinum = Fish tank granuloma Sporothrix schenckii = rose gardener disease Tinea capitis – Epidermophyton (needs systemic treatment -> Griseofulvin, mech = ) Tinea pedis – Epidermophyton (topical) Tinea corporis – Microsporum (topical) Tinea cruris – trichophyton (topical)