Medical Microbiology

Table 1 2. 10 Continued:SkinandSubcutaneousConnectiveTissue

Infection Mostimportantpathogens Laboratorydiagnosis

Loaosis Loaloa(migratingfilariae) Microscopyofdiurnalbloodfor

microfilariae;serology

Cysticercosis Taeniasolium Serology(radiology)

Dracunculosis Dracunculusspp. Clinicaldiagnosis

Tickbite Ixodesricinusandother

tickspecies

Inspectionofskin

Scabies Sarcoptesscabiei Microscopy

Louseinfestation Pediculusspp.,Phthiruspubis Inspectionofhair,skin,and

clothing(bodylice)forlice

andnits

Myiasis Flylarvae(maggots) Inspection

Fleainfestation Variousfleaspecies,inmost

casesfromanimals

Detectionoffleasandfleafecal

materialonanimalsandintheir

surroundings

Sandfleabites Tungapenetrans Clinicaldiagnosis,histologyif

needed

Table 1 2. 11 Bone,Joints,andMuscles

Infection Mostimportantpathogens Laboratorydiagnosis

Pleurodynia,

epidemicmyalgia

(Bornholmdisease)

CoxsackievirusesgroupB

(possiblyechoviruses)

Isolationfromstooland

pharyngeallavage;serology

Clostridialinfections

1 .Gasgangrene

(withmyonecrosis)

2.Clostridialcellulitis

(withoutmyonecrosis)

Clostridiumperfringens

Otherclostridialspp.

Microscopyandculturefrom

woundsecretion.Transport

materialsinanaerobicsystem

Bone,Joints,andMuscles 653

12

Kayser, Medical Microbiology © 2005 Thieme