Bullous Impetigo and Natural Treatments
Symptoms Impetigo often appears in skin areas already injured from a scrape, cut, or rash. It can appear anywhere on the skin but often attacks the area around the mouth in children. When caused by group A Streptococcus it begins as tiny blisters these eventually burst to reveal small, wet patches of red skin that may weep fluid. Gradually, a tan or yellow-brown crust covers the affected area. Impetigo caused by Staphylococcus may cause larger blisters containing fluid that is first clear, then cloudy. These blisters are When to Call Your Child's Doctor Call your child's doctor if your child has signs of impetigo, especially if she has been exposed to someone with the infection. If your child is currently being treated, call the doctor if her skin does not begin to heal in three days. Also call the doctor if the child develops a fever or if the affected area becomes red, warm, or tender to the touch. Prevention Give your child a daily shower or bath. Keep injured areas clean and...
Cause Staphylococcus aureus bacteria can live harmlessly on skin surfaces, especially around the nose, mouth, genitals, and rectum. But when skin is punctured or broken, they can enter the wound and cause infections. Abscesses are collections of pus or fluid in tissues that result from an infection commonly involving staph bacteria. Specific types of abscesses include boils, folliculitis, and sties (see Eye Redness Discharge in Chapter 29, Signs and Symptoms ). Staph infections may also cause scalded skin syndrome, impetigo (see Impetigo in this chapter), and cellulitis (see Cellulitis in this chapter).
Particularly if strep throat is not adequately treated with antibiotics, the child can develop abscesses in the area of the tonsils or nearby lymph glands. Untreated strep throat can also cause rheumatic fever, which can involve inflammation of the joints and permanent damage to the heart (see Rheumatic Fever in this chapter). Another complication of group A strep infection is glomerulonephritis (see Chapter 32, Health Problems in Early Childhood, for information about kidney diseases), a kidney problem that begins two to three weeks after the symptoms of strep infection began. Group A strep bacteria can also cause sinusitis (see Sinusitis in this chapter), ear infection (see Ear Infection in this chapter), pneumonia (see Pneumonia in this chapter), and skin infection (see Impetigo in this chapter).
Bullous impetigo (pemphigus neonatorum) in a newborn infant at the age of 6 days. This infection may occur as early as the second day or as late as two weeks of life and may demonstrate bodi bullous and impetiginous lesions. It is most commonly due to a staphylococcal infection but, on occasion, is caused by Streptococcus. The lesions are more common in moist, warm areas such as the axillary folds of the neck or the groin and present as superficial bullae which are wrinkled, become flaccid, and rupture easily producing ulcers which become crusted. Note the impetigo of the umbilical area.