DR Medhat MRCP

Skin infections
Impetigo
- Is a highly contagious bacterial skin infection most common among pre-school children
- The causative bacterias are group A streptococcus and staphylococcus aureus.
• Features :
Fever.
Rash; red sores quickly ruptures oozes yellowish-brown crust
resemble with brown sugar or honey.
Diarrhea.
Itching.
Weakness.
Treatment :
1) Limited, localised disease
Topical fusidic acid is first-line
Topical retapamulin is used 2nd-line if fusidin is ineffective or not tolerated.
Oral flucloxacillin /Topical mupirocin (Bactroban):
o Impetigo unresponsive to above measures as MRSA could be the possible
cause.
2) Extensive disease
Oral flucloxacillin.
Oral erythromycin if penicillin allergic
Impetigo - topical fusidic acid
oral flucloxacillin / topical mupirocin
Tinea
- Is a term given to dermatophyte fungal infections.
- Three main types of infection are described depending on what part of the body is
infected :
Tinea capitis – scalp
Tinea corporis - trunk, legs or arms.
Tinea pedis - feet
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