Non-bullous impetigo in both infants<\/em> <\/strong><\/a><\/p>\nPhoto Ref: impetigo-treatment.learnandenjoy.com<\/p>\n
<\/p>\n
Bullous Impetigo<\/h3>\n
It can affect trunk, face, axillae and extremities. The lesions are bullae with clear or yellowish fluid inside. This fluid may become turbid or purulent. When the bullae rupture, it leaves behind an erythematous area surrounded by a thin rim of brown crusts. But there is no golden yellow crust formation.<\/p>\n
Regional lymphadenopathy is not common with this type of impetigo. However, symptoms of systemic involvement such as fever, malaise and generalised weakness may be observed. Staphylococcus aureus releases a particular exotoxin called as \u2018Epidermolytic toxin\u2019, which is responsible for bullae formation [2, 4, 5<\/strong>]<\/sup>.<\/p>\n<\/h3>\nEcthyma<\/h3>\n
It is the least common form of impetigo, but the most severe form. It extends into the deep tissues [6<\/strong>]<\/sup>. There is pustule formation which ruptures and forms an ulcer that extends well into the dermis. A thick grey- yellow crust covers the ulcer. Regional lymphadenopathy is usually present. The ulcer heals with scar formation [7<\/strong>]<\/sup>.<\/p>\nDiagnosis<\/h2>\n
Usually a lab test is not required for Impetigo diagnosis. A detailed history with proper examination can give way to diagnosis [4<\/strong>]<\/sup>. For culture of the organism or drug sensitivity tests, sample from the lesion can be collected and sent to the laboratory.<\/p>\nHome remedies for infantigo<\/h2>\n
Unproven claims of olive & coconut oil had been raised as a beneficial treatment for impetigo [5<\/strong>]<\/sup>.<\/p>\nTreatment for Infantigo<\/h2>\n
Normally impetigo does not require a treatment. However, a treatment with the following helps in early recovery and return to school [5<\/strong>]<\/sup>. The child can return to school within 1-2 days of starting of antibiotic therapy as the chance of being infectious would have reduced by the antibiotic usage.<\/p>\n\n- Topical antibiotic ointment<\/em><\/li>\n
- Oral antibiotic treatment<\/em><\/li>\n<\/ul>\n
Complications<\/h2>\n
Under normal scenario, complications are rare in case of impetigo. Nevertheless, they are not impossible. The following complications are seen occasionally [5<\/strong>]<\/sup>.<\/p>\n\n- Cellulitis<\/strong> – When the bacterial infection remains uncontrolled and spread through the deeper layers of skin to the surrounding tissues, it leads to a painful condition, cellulitis.<\/li>\n
- Scarlet fever<\/strong> – It is caused by Streptococcus pyogenes.<\/li>\n
- Septicemia<\/strong> – Uncontrolled spread of the bacteria through blood.<\/li>\n
- Post-streptococcal glomerulonephritis<\/strong> – It is a Type 3 hypersensitivity reaction that occurs following a streptococcal infection such as impetigo. It affects the small blood vessels in kidneys.<\/li>\n<\/ul>\n
Prevention<\/h2>\n
Prevention is only possible to an extent.<\/em><\/strong><\/p>\n\n- Avoid contact with infected children.<\/li>\n
- Avoid using the same utensils, clothes or toys.<\/li>\n
- Frequent washing of hands with soap.<\/li>\n
- Avoid touching the lesions.<\/li>\n
- Usage of gloves to apply antibiotic to the lesions[5, 8<\/strong>]<\/sup>.<\/li>\n<\/ul>\n
Reference:<\/strong><\/p>\n\n- http:\/\/www.icd10data.com\/ICD10CM\/Codes\/L00-L99\/L00-L08\/L01-\/L01.00<\/em><\/li>\n
- https:\/\/www.uptodate.com\/contents\/impetigo#subscribeMessage<\/em><\/li>\n
- https:\/\/dictionary.cambridge.org\/pronunciation\/english\/impetigo<\/em><\/li>\n
- https:\/\/emedicine.medscape.com\/article\/965254-overview<\/em><\/li>\n
- https:\/\/www.medicalnewstoday.com\/articles\/162945.php<\/em><\/li>\n
- https:\/\/en.wikipedia.org\/wiki\/Ecthyma<\/em><\/li>\n
- https:\/\/emedicine.medscape.com\/article\/1052279-clinical#b4<\/em><\/li>\n
- https:\/\/www.webmd.com\/skin-problems-and-treatments\/tc\/impetigo-overview#1<\/em><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
What is Infantigo? It is a highly contagious bacterial infection, seen usually in children of age 2 years to 5 years. It may affect elder children and adults too. It is a very common skin infection among children. [2] Is it Infantigo or Impetigo? Infantigo is same as Impetigo. It is pronounced as \u2018im-pet-eye-go\u2019[3] For […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-838","post","type-post","status-publish","format-standard","hentry","category-skin"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/emedicalupdates.com\/wp-json\/wp\/v2\/posts\/838","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emedicalupdates.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emedicalupdates.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emedicalupdates.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/emedicalupdates.com\/wp-json\/wp\/v2\/comments?post=838"}],"version-history":[{"count":6,"href":"https:\/\/emedicalupdates.com\/wp-json\/wp\/v2\/posts\/838\/revisions"}],"predecessor-version":[{"id":1337,"href":"https:\/\/emedicalupdates.com\/wp-json\/wp\/v2\/posts\/838\/revisions\/1337"}],"wp:attachment":[{"href":"https:\/\/emedicalupdates.com\/wp-json\/wp\/v2\/media?parent=838"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emedicalupdates.com\/wp-json\/wp\/v2\/categories?post=838"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emedicalupdates.com\/wp-json\/wp\/v2\/tags?post=838"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}