• Danya Reich
  • Corinna Eleni Psomadakis
  • Bobby Buka


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.


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


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© 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

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