Difference between revisions of "Impetigo"

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*[[Post-streptococcal glomerular nephritis]] is a possible complication
 
*[[Post-streptococcal glomerular nephritis]] is a possible complication
  
==Diagnosis==
 
 
[[File:ImpetigoF.jpg|thumb|Impetigo honey-colored scab]]
 
[[File:ImpetigoF.jpg|thumb|Impetigo honey-colored scab]]
 +
 +
==Clinical Features==
 
*Nonbullous  
 
*Nonbullous  
 
**Erythematous macules/papules develop into vesicles which become pustular and rupture
 
**Erythematous macules/papules develop into vesicles which become pustular and rupture
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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]]
 
==Work-up==
 
*Clinical diagnosis
 
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 
{{Generalized rash DDX}}
 
{{Generalized rash DDX}}
  
==Treatment==
+
==Diagnosis==
 +
*Clinical diagnosis
 +
 
 +
==Management==
 
===[[Antibiotics]]===
 
===[[Antibiotics]]===
 
{{Impetigo Antibiotics}}
 
{{Impetigo Antibiotics}}
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*[[Rash]]
 
*[[Rash]]
  
==Source==
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==References==
 
+
<references/>
  
 
[[Category:Derm]]
 
[[Category:Derm]]
 
[[Category:ID]]
 
[[Category:ID]]

Revision as of 00:14, 22 February 2016

Background

Impetigo honey-colored scab

Clinical Features

  • 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

Differential Diagnosis

Rash

Diagnosis

  • Clinical diagnosis

Management

Antibiotics

Coverage for MSSA, MRSA, Group A Strep

Topical therapy

  • Mupirocin (Bactroban) 2% ointment q8hrs x 5 days
    • For nonbullous impetigo, topic antibiotics are as effective as oral antibiotics

Oral Therapy

See Also

References