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Is it a spider bite or an infection? Brian M. Bourgeois, M.D., F.A.C.S. Westbank Industrial Medicine Cellulitis Infection of the skin and its appendages Progresses through the layers of skin Involves transgression of epidermis by external source Introduction of native or foreign bacteria Cellulitis Recognition Treatment – first line vs. second line Surgical drainage Outpatient vs. inpatient Antibiotics Pathogens aka. offenders Staph. Strep. Vibrio Tetanus MRSA MRSA Methicillin resistant Staph. Aureus Appropriate treatment Carrier state Prevention Damage control Spider Bite Brown recluse Frequency Recognition Treatment Prevention Brown Recluse What’s the Hubbub? Necrosis Secondary Tissue loss Outcome infection Skin Care/Barrier Protection Mechanical agent Soaps Chemicals Surveillance MYTHS and FACTS All infectons are due to spider bites All spider bites cause infections These infections are resistant to antibiotics Infections are contagious Patients require significant operations