Intra-abdominal infections occur when bacteria usually present
in the gastrointestinal tract (GIT) leak into adjacent tissues.
Surgery, trauma, or diseases may cause injuries to the mucous membrane
or changes within the normal
flora. Infected organs are usually the gallbladder, bile ducts,
and the intestine. The inflammation of the gallbladder (cholecystitis)
is usually caused by Escherichia coli and enterococci. Symptoms
can be fever, gradual or sudden pain in the upper abdomen (belly),
nausea and vomiting. The bile ducts transporting the bile from the
liver into the small intestine can be infected (cholangitis) by
Escherichia coli, enterococci, or anaerobes from the gut as well.
Acute infectious diarrhea is most commonly caused by and
Campylobacter, Shigella, Salmonella species and toxin-producing
Escherichia coli. Shifts in the composition of the normal flora
owing to disease or treatment, i.e. antibiotic
treatment, and contamination of food and water sources usually
leads to infectious diarrhea.
Skin infections are most commonly caused
by bacteria, followed by mycosis
and viral diseases. Most bacterial infections of the skin are caused
by Staphylococcus aureus, streptococci, and pseudomonads. Folliculitis
is the inflammation of hair follicles, possibly leading to permanent
hair loss. Impetigo and Ecthyma are inflammatory skin diseases characterized
by pustules leaving scars and pigmentation, if untreated. Skin infections
may interrupt the integrity of the skin, the natural defense barrier
of the non-specific
immune response, facilitating invasion of possible pathogens.
Diabetes
can result in severe infections of the skin, i.e. diabetic gangrene.
Bone and joint infections include most
commonly septic arthritis and osteomyelitis, caused by pathogens
such as Staphylococcus aureus. Infection with Gonococcus in sexually
active young men and women can also lead to an inflammation of the
joints (septic arthritis). Inflammation of the bone is painful and
may lead to the formation of abscesses.