Advertisement

Impetigo

  • Danya Reich
  • Corinna Eleni Psomadakis
  • Bobby Buka
Chapter

Abstract

A 30-year-old male visited Primary Care for evaluation of a perioral sore. There was no history of herpes simplex virus infection and no report of any prodromal tingling symptoms. The sores were treated as impetigo. Impetigo is a common, highly contagious superficial infection that most commonly affects children. It can also affect adults, especially at sites of minor trauma or skin irritation. Impetigo is usually caused by Staphylococcus aureus infection, and is classified as bullous or nonbullous. This patient had nonbullous impetigo, which is more common in adults and presents as thin-walled vesicles that eventually break down and form a honey-colored crust. Such lesions should be cultured and treated with appropriate topical antibiotic ointments. If there is no response to topical medication, or if there is extensive surface area involved, oral antibiotics are indicated.

Keywords

Impetigo Infection Bacterial infection Staphylococcus aureus Staph Antibiotics Mupirocin Bullous Nonbullous Contagious 

References

  1. 1.
    Hay RJ, Johns NE, Williams HC, Bolliger IW, Dellavalle RP, Margolis DJ, Marks R, Naldi L, Weinstock MA, Wulf SK, Michaud C, J L Murray C, Naghavi M. The global burden of skin disease in 2010: an analysis of the prevalence and impact of skin conditions. J Invest Dermatol. 2014;134(6):1527–34.CrossRefPubMedGoogle Scholar
  2. 2.
    Koning S, van der Sande R, Verhagen AP, van Suijlekom-Smit LWA, Morris AD, Butler CC, Berger M, van der Wouden JC. Interventions for impetigo. Cochrane Database Syst Rev. 2012;1, CD003261.PubMedGoogle Scholar
  3. 3.
    Cole C, Gazewood J. Diagnosis and treatment of impetigo. Am Fam Physician. 2007;75(6):859–64.PubMedGoogle Scholar
  4. 4.
    Likness LP. Common dermatologic infections in athletes and return-to-play guidelines. J Am Osteopath Assoc. 2011;111(6):373–9.CrossRefPubMedGoogle Scholar
  5. 5.
    Loffeld A, Davies P, Lewis A, Moss C. Seasonal occurrence of impetigo: a retrospective 8-year review. Clin Exp Dermatol. 2005;30(5):512–4.CrossRefPubMedGoogle Scholar
  6. 6.
    George A, Rubin G. A systematic review and meta-analysis of treatments for impetigo. Br J Gen Pract. 2003;53(491):480–7.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Hartman-Adams H, Banvard C, Juckett G. Impetigo: diagnosis and treatment. Am Fam Physician. 2014;90(4):229–35.PubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Open Access This chapter is distributed under the terms of the Creative Commons Attribution Noncommercial License, which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Authors and Affiliations

  • Danya Reich
    • 1
  • Corinna Eleni Psomadakis
    • 2
  • Bobby Buka
    • 3
  1. 1.Department of Family MedicineMount Sinai School of Medicine Attending Mount Sinai Doctors/Beth Israel Medical Group-WilliamsburgBrooklynUSA
  2. 2.School of Medicine Imperial College LondonLondonUK
  3. 3.Department of DermatologyMount Sinai School of MedicineNew YorkUSA

Personalised recommendations