Ecthyma | Figure 4.10
A: Perianal strep
(Reprint from Al-Jasser M,
Al-Khenaizan S. Cutaneous
mimickers of child abuse.
Eur J Ped. 2008;
167 (11) : 1221–30)
B: Ecthyma
(Courtesy of Dr. Paul Getz)
C: Strawberry tongue
(Reprint from Allen HB.
Dermatology Terminology.
New York, NY: Springer; 2010) |
(Figure 4.10B) - Deeper form of nonbullous impetigo with ulceration due to GAS but quickly contaminated by S.aureus
- Presents as “punched out” shallow ulcer with thick, yellow-gray crust commonly in lower legs of children
- If diagnosis uncertain → punch biopsy with deep-tissue Gram stain and culture
- Treatment: dicloxacillin or first-generation cephalosporin
|
