Impetigo: Difference between revisions
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**Bullae form as result of staph toxin | **Bullae form as result of staph toxin | ||
**Some cases caused by MRSA | **Some cases caused by MRSA | ||
[[File:ImpetigoF.jpg|center|frame|500px|Impetigo honey-colored scab]] | |||
==Treatment== | ==Treatment== | ||
Revision as of 23:21, 21 August 2013
Background
- Superficial epidermal infection characterized by amber crusts (nonbullous) or vesicles (bullous)
- May be super-infection or primary infection
- Fever and systemic signs are uncommon
Diagnosis
- Nonbullous
- Erythematous macules/papules develop into vesicles which become pustular and rupture
- As rupture release yellow fluid which dries to form stratified golden crust
- Erythematous macules/papules develop into vesicles which become pustular and rupture
- Bullous
- Bullae form as result of staph toxin
- Some cases caused by MRSA
Impetigo honey-colored scab
Treatment
- Topical abx
- Mupirocin ointment 2% TID x 7-14d
- Oral abx
- Consider for large areas or if topical tx is impractical or for bullous impetigo
- Clindamycin 24mg/kg/d in 3 doses x7-10d
Source
Tintinalli