Impetigo Contagiosa

Question 1

Caused by?

Answer 1

M/c - S. aureus
strep progenes (grp A)

Question 2

Mc site?

Answer 2

Face → periorificial esp around mouth & nose

Question 3

Complication?

Answer 3

Eczematization
Acute post streptococcal GMN

Question 4

Dx?

Answer 4

Child with honey colored lesions on face
Gram stain & pus culture

Question 5

Rx→ localized lesions?

Extensive lesions + LAD present

Answer 5

Topical antibiotics → Fusidic acid, Mupirocin

Extensive → erythromycin group → poor response → moxclave or cephalexin

Question 6

Describe the lesion?

Answer 6

Thin walled bulla that ruptures rapidly
With honey coloured crusts
Regional lymphadenopathy - frequent in severe cases