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What are the six classical infectious - First disease: measles/rubeola (measles virus)
exanthems? - Second disease: Scarlet fever (strep infection)
- Third disease: Rubella
- Fourth disease: not widely accepted
- Fifth disease: Erythema infectiosum (parovirus B19)
- Sixth disease: Roseola infantum (HHV-6 or HHV-7)
At what age would you suspect Before 12 months old, before the child has gotten the
measles/rubeola? MMR vaccine
What skin condition can you rule out if Impetigo
majority of lesions with "honey crusted
crusts" ?
What is impetigo usually caused by? Group A streptococcus, S. aureus, or MRSA
What are the different types of Bullous and non bullous
impetigo?
What does nonbullous impetigo skin trauma (bites, abrasions, or varicella), atopic
usually result from dermatitis
Who is bullous impetigo more infants & young children
common in?
How does impetigo usually spread? Autoinoculation via hands, towels, clothing, nasal
discharge, or droplets
What climate does impetigo occur in? Warm climates, warm summer months
, What are some symptoms of Weakness, fever, and diarrhea
impetigo? regional lymphadenopathy
When are topical antibiotics preferred When it is superficial, nonbullous, or localized to a
for impetigo? limited area
What topical antibiotic is Mupirocin and retapamulin
recommended for impetigo?
When are oral antibiotics preferred for multiple lesions or nonbullous impetigo with
impetigo? infection in multiple family members, child care
groups, or athletes
When are oral antibiotics are used to - amoxicillin/clavulanate
treat impetigo ? - dicloxacillin
- cloxacillin
- cephalexin
What is prescribed to treat infants with - Methicillin
bullous impetigo? - Oxacillin
- Nafcillin
How long should the child stay home Until treated for 24 hours
from school when they have
impetigo?
What is SSSS Staphylococcal Scalded Skin Syndrome, a
complication of impetigo
Blistering disease, manifests abruptly with fever,
malaise, lethargy, poor feeding, and tender
erythroderma
What is a key finding of SSSS ? Nikolsky sign - peeling of skin with a light rub to
reveal a moist red surface
What gender is folliculitis more Males
common in ?