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Pyoderma

Pyoderma is usually caused by


staphylococcal, streptococcal, or
combined infection.
Pyoderma

is a group of cocci infections in


the skin, including impetigo, ecthyma,
folliculitis, furuncle, carbuncle,
erysipelas and cellulitis.
The quantity and the toxicity of the bacteria
The resistance of the body

Impetigo
Occur

most frequently on the exposed


parts of the body
Contagious
Occur most frequently in childhood
Mostly during summer

Pathogen
Coagulasepositive

Staphylocuccus aureus
Group A beta-hemolytic streptococci

Group A beta-hemolytic

streptococci and the


phage type 71 and 80/81 S. aureus skin
infections are sometimes followed by
glomerulonephritis.
Enviroment: humid weather
Body: itching skin diseases

Clinical
Impetigo

Type

vulgaris
impetigo bullosa
Impetigo neonatorum
Granuecthyma

Impetigo vulgaris
Highly

contagious
Age: preschool age or school age
Season: summer and autumn
Locus: exposed parts of the body:
perioral, paranasal and vulval regions

Impetigo vulgaris
Feature

of the lesion: erythematous

macula or papula, pustula, erosion, crusts


Subjective

symptom: itching seriously


Course of disease: about one week
Systemic symptom: fever and
lymphangitis may occur in serious disease,
and more seriously septicaemia and acute
glomerulonephritis may occur in disease.

Impetigo vulgaris

Impetigo bullosa
Childhood,

Summer
Impetigo often complicates miliaria,
hidradenitis and insect bites
Bullae:pellucid to turbid exudate, like
half bottle of water, after these lesions
rupture, the exudate dries to form
crusts and hyperpigmentation.
Impetigo circinata

Impetigo neonatorum
Phage

type 71 coagulasepositive S. aureus


or a related group 2 phage type
Rapidly evolving, highly contagious
pellucid to turbid exudate, Nikolskys sign
(+)
dries to form loosely stratified golden
yellow crusts
The disease evolves rapidly
Systemic symptom is serious:
septicaemia,toxemia and die

Impetigo
neonatorum

Granuecthyma
Deep

and inflammatory vesicle or


vesicopustule, ruptures to form ulcer
and dark brown crusts
Causalgia, regional lymphonodi swell
Autoinoculation infection
The lesions tend to heal after 2-4
weeks, leaving scars or granulomatous
lesions

Granuecthyma

Treatment
1.

Clean the skin and cure the


wound and itching skin diseases

Treatment
2. Systemic treatment:
sulfanilamide antibiotics or other
antibiotics
Serious Impetigo neonatorum:
Topical therapy
High dose and sensitive antibiotics
General suppotive measures

Treatment
3. Topical therapy:
Principle: sterilize, diminish
inflammation, astringe and desiccate
1% camphor 5% sulfurcalamine lotion,
0.5% novobiocin ointment

Impetigo neonatorum
Diers astringents and antiseptics

Granuecthyma
Remove the crusts, topical antibiotics
ointment

Treatment
4.

Isolation and disinfection

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