Can you make the diagnosis?

Amy picks up her 5-year-old child at day care, and notes a red sore near the side of his mouth.

The sore is crusted and scabbed over, and her child keeps rubbing it.

impetigo

Her child otherwise appears well, doesn’t seem to have a fever, and is asking for dinner.

What is this child’s diagnosis?

  1.  Chickenpox
  2. Impetigo
  3. Cold sore
  4. Measles

 

 

If you picked 2. Impetigo, you are correct!

Impetigo is a rash caused by Staph or Strep bacteria.  Risk factors include day care, sports participation, and breaks in the skin.  It is spread by contact.

Impetigo causes a rash that is reddish with yellow crusting on the face, arms, or legs.  It can be painful or itchy.

Treatment is with topical cream such as Mupirocin ointment

Chickenpox is a rash that affects the body and face, and is usually a widespread rash associated with a fever.    Cold sores are usually a group of blisters and often associated with a fever.  Measles is a flat rash that starts on the face and spreads to the body, and is associated with fever cough runny, nose, and inflamed eyes.

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