Infectious Disease Compendium

Bullous impetigo

Diagnosis

A cellulitis mostly of young children and newborns with erythema and easily broken, large bullae. When widespread it is Staphylococcal scalded skin syndrome (SSSS).

Epidemiologic Risks

Part of life.

Microbiology

S. aureus of phage group II, makers of Exfoliative toxin A.

Empiric Therapy

Treat for S. aureus

Mild cases with topical mupirocin, more severe with oral or iv.

Pearls

Nasal swabs from the patient and immediate family should be done to identify asymptomatic nasal carriers of Staphylococcus aureus.

Rants

Last Update: 05/27/18.