Abstract
Clinical: Acute superficial pyoderma that heals without scarring. Subdivides into impetigo contagiosa and bullous impetigo. Impetigo contagiosa (common impetigo) typically in pre-school children and also immunocompromised adults or elderly. Most often caused by Staphylococcus aureus and Streptococcal pyogenes. Preceded by minor trauma (e.g. insect bites, burns, chicken pox), typically starts as small superficial pustules or vesicles on face and extremities that progress to honey-colored crusted plaques with surrounding erythema. Spread by direct contact, especially in warm humid environments. Bullous Impetigo usually in newborns, infants and children but also in adults with renal insufficiency. Caused by epidermolytic toxin release in situ by Staphylococcus aureus phage group II. Presents as moist erosions or <2 cm yellow-fluid filled blisters with erythematous rim that become purulent in non-traumatized skin, often involving face, trunk, buttocks. Lesions spontaneously resolve in 2–3 weeks.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Bibliography
Blaise G, Nikkels AF, Hermanns-Lê T, Nikkels-Tassoudji N, Piérard GE. Corynebacterium-associated skin infections. Int J Dermatol. 2008;47(9):884–90.
Burgdorfer W, Barbour AG, Hayes SF, Benach JL, Grunwaldt E, Davis JP. Lyme disease-a tick-borne spirochetosis? Science. 1982;216(4552):1317–9.
Centers for Disease Control and Prevention (CDC). Trends in primary and secondary syphilis and HIV infections in men who have sex with men – San Francisco and Los Angeles, California, 1998–2002. MMWR Morb Mortal Wkly. 2004;53(26):575–8.
Gerbase AC, Rowley JT, Heymann DH, Berkley SF, Piot P. Global prevalence and incidence estimates of selected curable STDs. Sex Transm Infect. 1998;74 Suppl 1:S12–6. Review.
Kahl O, Janetzki-Mittmann C, Gray JS, Jonas R, Stein J, de Boer R. Risk of infection with Borrelia burgdorferi sensu lato for a host in relation to the duration of nymphal Ixodes ricinus feeding and the method of tick removal. Zentralbl Bakteriol. 1998;287(1–2):41–52.
Stanek G, Wormser GP, Gray J, Strle F. Lyme borreliosis. Lancet. 2012;379(9814):461–73. 2011 Sep 6. Review.
Steere AC. Lyme disease. N Engl J Med. 2001;345(2):115–25. Review.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag London
About this chapter
Cite this chapter
Cockerell, C., Mihm, M.C., Hall, B.J., Chisholm, C., Jessup, C., Merola, M. (2014). Bacterial Infections. In: Dermatopathology. Springer, London. https://doi.org/10.1007/978-1-4471-5448-8_15
Download citation
DOI: https://doi.org/10.1007/978-1-4471-5448-8_15
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-5447-1
Online ISBN: 978-1-4471-5448-8
eBook Packages: MedicineMedicine (R0)