Difference between revisions of "Impetigo"

(Diagnosis)
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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]]
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 +
==Work-up==
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*Clinical diagnosis
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 +
==Differential Diagnosis==
  
 
==Treatment==
 
==Treatment==
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**Consider for large areas or if topical treatment is impractical or for [[bullous impetigo]]
 
**Consider for large areas or if topical treatment is impractical or for [[bullous impetigo]]
 
**[[Clindamycin]] 24mg/kg/d in 3 doses x7-10d
 
**[[Clindamycin]] 24mg/kg/d in 3 doses x7-10d
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==See Also==
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*[[Rash]]
  
 
==Source==
 
==Source==
Tintinalli
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[[Category:Derm]]
 
[[Category:Derm]]
 
[[Category:ID]]
 
[[Category:ID]]

Revision as of 01:00, 24 February 2015

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
  • Postinfectious Glomerulonephritis is a possible complication

Diagnosis

Impetigo honey-colored scab
  • 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

Work-up

  • Clinical diagnosis

Differential Diagnosis

Treatment

  • Topical antibiotics
    • Mupirocin ointment 2% TID x 7-14d
  • Oral antibiotics

See Also

Source