ABSTRACT
This chapter presents the case study of a 5-year-old boy. A 5-year-old boy presents to the accident and emergency department with a sudden-onset facial eruption over the previous 24 hours. Initially the skin was erythematous and crusted, then his parents noticed blisters developing and were understandably concerned. There are crusted resolving chickenpox lesions on his face, trunk and limbs. On his central face there are acute tense bullae and areas of golden crusting, but no ulcers or erosions. Calamine lotion applied to the skin by his parents has given him a patchy white appearance. This child has bullous impetigo, which results from a cutaneous infection with exotoxin-producing strains of Staphylococcus aureus. Impetigo is very common, especially in c Localized cutaneous impetigo can be managed with topical antiseptics such as dilute chlorhexidine to wash the skin and topical antibiotics such as fusidic acid, polymyxin or mupirocin hildren, and is highly contagious with spread by direct inoculation.
