Impetigo: Difference between revisions
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==Background== | ==Background== | ||
*Superficial infection caused by staph or strep | *Superficial infection caused by staph or strep | ||
*May be | *May be super-infection or primary infection | ||
*Fever and systemic signs are uncommon | *Fever and systemic signs are uncommon | ||
==Diagnosis== | ==Diagnosis== | ||
* | *Non-bullous | ||
**Erythematous macules/papules develop into vesicles which become pustular and rupture | **Erythematous macules/papules develop into vesicles which become pustular and rupture | ||
***As rupture release yellow fluid which dries to form stratified golden crust | ***As rupture release yellow fluid which dries to form stratified golden crust | ||
| Line 17: | Line 17: | ||
**Cephalexin 40mg/kg/d divided in 3 doses x7-10d OR clinda 24mg/kg/d in 3 doses x7-10d | **Cephalexin 40mg/kg/d divided in 3 doses x7-10d OR clinda 24mg/kg/d in 3 doses x7-10d | ||
==Source== | |||
Tintinalli | |||
[[Category:Derm]] | [[Category:Derm]] | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 17:38, 6 November 2011
Background
- Superficial infection caused by staph or strep
- May be super-infection or primary infection
- Fever and systemic signs are uncommon
Diagnosis
- Non-bullous
- 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
Source
Tintinalli