TY - CHAP M1 - Book, Section TI - Section 3. Bacterial Infections A1 - Weinberg, Samuel A1 - Prose, Neil S. A1 - Kristal, Leonard Y1 - 2008 N1 - T2 - Color Atlas of Pediatric Dermatology, 4e AB - Impetigo is a primary superficial infection of the skin. It is more prevalent in humid climates and occurs most commonly in the summer months. Trauma to the skin, such as a small abrasion or insect bite, sometimes provides the site of entry for the infective bacteria. The lesions evolve from discrete small vesicles into pustules. The fluid content of the primary lesions dries into a thick yellowish crust (Fig. 3-1), and removal of the crust may reveal bright-red and shiny erosions (Fig. 3-2). The most common cause of impetigo is Staphylococcus aureus. When caused by Streptococcus, it may be associated with epidemics of impetigo-induced glomerulonephritis. Because the “honey-crusted” lesions of impetigo are frequently caused by a combination of Staph. aureus and Strep. pyogenes, systemic antibiotic therapy should be effective against both organisms. The use of topical mupirocin ointment appears to be an effective treatment and may replace the need for systemic therapy in some patients with localized lesions. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=6987104 ER -