Difference between revisions of "Impetigo"
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| + | ==Background== | ||
| + | *Superficial infection caused by staph or strep | ||
| + | *May be superinfection 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 | ||
| + | *Bullous | ||
| + | **Bullae form as result of staph toxin | ||
| + | **Some cases caused by MRSA | ||
| + | |||
==Treatment== | ==Treatment== | ||
| − | + | *Mupirocin ointment 2% TID x 7-14d | |
| − | + | *Consider oral therapy for large areas or if topical tx is impractical | |
| − | + | **Cephalexin 40mg/kg/d divided in 3 doses x7-10d OR clinda 24mg/kg/d in 3 doses x7-10d | |
--> cover MRSA if RF | --> cover MRSA if RF | ||
Revision as of 22:24, 27 June 2011
Background
- Superficial infection caused by staph or strep
- May be superinfection 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
Treatment
- Mupirocin ointment 2% TID x 7-14d
- Consider oral therapy for large areas or if topical tx is impractical
- Cephalexin 40mg/kg/d divided in 3 doses x7-10d OR clinda 24mg/kg/d in 3 doses x7-10d
--> cover MRSA if RF