Impetigo

Question 1

what is impetigo

Answer 1

Staph aureus infection on face and hands
starts as vesicular, but spread rapidly
classically golden crust around mouth and nose in children

can also be bullous impetigo-neonates calssicaly
golden bullae, spread fast and can burst especially on legs but not too extensive
think of differentials- for blistering conditions (pemphigoid, pemphigus, Herpes, Varicella, Erythema multiforme)

can also look viral-cluster of vesciles, ulcers etc

Question 2

treatment of impetigo

Answer 2

None sometimes
but topical Abx
Or oral Abx–
flucloxacillin

also MRSA eradication treatment-

Question 3

what is paediatric impetigo?

Answer 3

similar to normal impetigo-actually children are the most common population of impetigo

many presentation-classic is golden crust on nose -honey coloured, heals without scarring

but also bullous/blistering form

Staphylococcal scalded skin syndrome-removal on top layers of the dermis-pain full and severe
pt very unwell
NO mucosal involvement
and affects flexures

Question 4

Complication of impetigo

Answer 4

Always remember about post strep Glomerulonephritis, about 18-21 days after -Check U&E

Staphylococcal scalded skin syndrome —removal on top layers of the dermis-pain full and severe
pt very unwell
NO mucosal involvement
and affects flexures –need IV Abx