Soft Tissue Infections

Ardian Riza
Pathogenesis
RISK FACTORS
• Cellulitis
• Abscess
• Myositis
• Tenosynovitis
 Cellulitis
• Cellulitis is a bacterial infection of the skin
and tissues beneath the skin.

• Staphylococcus and Streptococcus are the

types of bacteria that are usually
responsible for cellulitis, although many
types of bacteria can cause the condition.

• Sometimes cellulitis appears in areas

where the skin has broken open, such as
the skin near ulcers or surgical wounds.
 Cellulitis
• Symptoms and signs of cellulitis include
o redness,
o pain and tenderness,
o swelling, and
o warmth of the affected area.

• Cellulitis can occur anywhere in the body.

– Cellulitis frequently affects the legs.

• Cellulitis is not contagious

• Complications of cellulitis include spread of the infection
into the bloodstream or to other body tissues.

• Cellulitis is treated with oral or intravenous antibiotics.

 Abscess
• Collection of pus within the dermis and
deeper skin tissue
• Painful, tender and fluctuant
• Polymicrobial, S aureus (25%)
• Incision and evacuation of the pus
 Infectious Myositis
• Uncommon , Acute or chronic infection
of skeletal muscle, >> young adult
• The most common Bacterium : stap
Aureus (77% of Myositis cases)
(prevalent in tropical countries)
• Viruses, Mycrobacteria, Fungi and
parasites can causes Myositis
• It consists of primary abscess,
edema,inflamatory mass
 Bacterial Myositis
• Associates with : Immunocompromise
Pt, IV drug abusers who traumatically
contaminate their muscle w/ foreign
material
• CE: muscles aches, deep induration  1st
suggest Intramuscular
neoplasm
• Stap Aureus 90 % cases
• Viral  can cause diffuse Myositis
• Bacteria & Fungi  local myositis may be
associates by trauma or surgery and IC pt
• Gas Gangren  pyogenic myositis , cause by
grup A Strep Myonecrosis clostridial non
myonecrosis
 Gas Gangren (Clostridium Myoneccrosis)

• CM is bacterial infection by Clostridium

Perfringens type A  gas in gangrene
(necrotic tissue dominant in muscle)
• C prefringens  alpha exotoxin
 Tenosynovitis
• Definisi :
– Suatu peradangan melibatkan tendon dan
selubungnya (tendon sheath)
– Peradangan pada tendon dan selubungnya
menyebabkan bengkak dan nyeri
(orthopaedic dictionary)
– Penyebab pembengkakan belum jelas ,
tetspi dapat diakibatkan trauma,
penggunaan yang berlebihan dari repetitive
minor trauma, strain atau infeksi
 Tenosynovitis Supuratif
• Infeksi pada sarung tendon
 Etiologi
• Infeksi masuk melalui
• luka tusukan
• Laserasi
• Memberikan jalan masuk bakteri melalui sarung
tendon terutama bakteri Staphilococcus aureus
 Patogenesa

Sarung sinovial meradang dan

teregang karena tekanan pus
Edema, hipertropi sarung
dibawahnya  posisi semifleksi jari-
synovial dan peningkatan
jari volume cairan meningkat
produksi cairan synovial
 Management
• Rest
• Medicamentosa
• Injection
• Spilinting
• Drainage
 Conclusion
• There are many soft tissue infection
• The Risk Factor are often caused soft tisue
infection
• Etiologi, patologi and management is
important to treat the soft tissue infection
Terima Kasih