impetigo%20-and-%20ecthyma%20(pediatric)
IMPETIGO & ECTHYMA (PEDIATRIC)
Impetigo is a very contagious, superficial, bacterial skin infection that easily spreads among people in close contact.
Most cases resolve spontaneously without scarring in approximately 14 days without treatment.
Ecthyma is deeply ulcerated form of impetigo that extends to the dermis. The ulcers are "punched-out" with yellow crust and elevated violaceous margins.
It may be an infection de novo or a superinfection.

Impetigo%20-and-%20ecthyma%20(pediatric) Diagnosis

Diagnosis

  • Diagnosis can be made by clinical presentation, but direct gram staining from pus/crust is recommended to confirm infection

Laboratory Tests

  • Tests are not necessary in most cases because diagnosis is made on clinical grounds
  • Gram stain &/or culture may be used to confirm the diagnosis when the clinical presentation is unclear, when Methicillin-resistant S aureus (MRSA) is suspected or if the patient fails first treatment
    • Gram stain smears of vesicles show Gram positive cocci
    • Culture & sensitivity test reveal the causative agents & the appropriate therapy especially when resistant organisms are suspected
  • Take blood cultures when patient appears ill & when infection is severe, recurrent, suspected to be an outbreak, or suspected to be caused by Methicillin-resistant S aureus (MRSA)
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
4 days ago
Routinely used for treating cardiovascular diseases, statins have been shown to benefit other conditions, and new evidence suggests that using the drug at high intensity reduces the risk of hip or knee replacement, an effect that may be specific to rheumatoid arthritis.
Jairia Dela Cruz, 4 days ago
Following vegan and vegetarian diets, which offer plenty of what is good for health, has been reported to have a downside: an increased risk of depression and anxiety, especially for younger adults.
Pearl Toh, 29 Jun 2020
Having migraine during midlife appears to be associated with a higher risk of developing dementia in later life, according to a large population-based longitudinal Danish study presented at the AHS* 2020 Virtual Meeting, indicating that migraine may be a risk factor for dementia.
Roshini Claire Anthony, 2 days ago

Upadacitinib may be a suitable treatment for patients with active psoriatic arthritis (PsA) who have insufficient response to non-biologic disease-modifying anti-rheumatic drugs (non-bDMARDs), according to results of the phase III SELECT-PsA-1* trial presented at EULAR 2020.