Presentation
Surrounding erythema may be present. Constitutional symptoms are absent. Regional lymphadenopathy may be present in up to 90 percent of patients with prolonged, untreated infection. [dermaamin.com]
We present a case of nonbullous impetigo neonatorum associated with late onset group B streptococcal meningitis in a 12-day-old infant. Both skin lesions and meningitis resolved with antibiotic therapy. [ncbi.nlm.nih.gov]
Impetigo is a superficial bacterial cutaneous infection that may present with or without bulla formation, as described by the conditions non-bullous and bullous impetigo. [amsj.org]
Scabies Scabies can present at any age. [contemporarypediatrics.com]
Herpes simplex neonatorum presents in one of three forms: involvement of skin, eyes and/or mouth (SEM), central nervous system (CNS) disease, or disseminated disease presenting with CNS, hepatic, pulmonary, and hematologic involvement. [neurologyadvisor.com]
Entire Body System
- Fever
Term mild febrile disease w/ diffuse punctuate and maculopapular rash (resembles measles or scarlet fever) (milder than measles, rash starts at the face and spreads down); in children, no constitutional symptoms; in adults, Fever, Headache, coryza, Malaise [flashcardmachine.com]
The mother developed fever 24 hours postpartum, and Staphylococcus aureus was cultured from the episiotomy. [rrnursingschool.biz]
Children's paracetamol can bring down a fever. [nhs.uk]
- Gangrene
[…] atopic dermatitis, herpes simplex ( superinfection ) Pyodermas associated with systemic disease Job syndrome Chédiak -Higashi syndrome Chronic granulomatous disease Invasive infections Lymphangitis, lymphadenitis Erysipelas Cellulitis Streptococcal gangrene [dermaamin.com]
Streptococci may produce streptococcal gangrene and fuso-spirochaetal infection may spread from the gingiva to produce extensive necrosis of the lips, mouth and face (Cancrum Oris-noma). [acne-psoriasis-treatment.com]
There is rapid progression to frank gangrene and myonecrosis supervenes with eventual shock and organ failure. 55 56. [de.slideshare.net]
Gastrointestinal
- Green Stools
Constitutional symptoms are common which include: fever, cachexia, diarrhea with green stools that may lead to severe dehydration. Bacteremia, nephritis, pneumonia, lung abscess, meningitis are severe and may be fatal complications. [impetigo-treatment.learnandenjoy.com]
- Hematochezia
Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself [nejm.org]
Liver, Gall & Pancreas
- Neonatal Jaundice
[J];Journal of Anhui Health Vocational & Technical College;2008-06 4 Anhui Municipal Hospital,Hefei 230001,Anhui DING Cai-xia;Clinical Progress of Early Intervention of Neonatal Jaundice[J];Journal of Anhui Health Vocational & Technical College;2010-01 [en.cnki.com.cn]
Skin
- Skin Rash
Nappy rash Nappy rash occurs when the skin around the baby's nappy area becomes irritated. [zana.com]
We deal with a vast range of presentations, from impetigo, skin rashes, glue ear, strep throat, sexual health checks and minor wounds. [freethesaurus.com]
Infection ( Streptococcus pyogenes ) AKA: pyoderma, impetigo {Gram-positive} Term skin rash; caused by pyrogenic exotoxin; enanthem, strawberry tongue, exanthem; all symptoms associated w/ sore throat or puerperal fever may occur; rash is often felt [flashcardmachine.com]
Mothers were instructed to continue daily hexochlorophene bathing and told to report any skin rash or illness in the babies or other family members. [cirp.org]
For patient education information, see the Bacterial and Viral Infections Center and Skin, Hair, and Nails Center, as well as Impetigo, Skin Rashes in Children, and Antibiotics. [emedicine.medscape.com]
- Pustular Rash
Physicians & health care workers attending to children in tropical countries should have a high index of suspicion for cutaneous myiasis in all cases of generalized pustular rash or furunculosis not responding to conventional antibiotics treatment, particularly [m.scirp.org]
It is important to distinguish the benign physiological rashes from significant pathological pustular eruptions[ 3 ]. [ncbi.nlm.nih.gov]
rash for 2 d. [wjgnet.com]
[…] looking but different entities of pustulation with a clear demarcation between the physiological benign pustular rashes and the infectious pustular lesions. [e-ijd.org]
Breast
- Agalactia
Authors Source MeSH Humans Impetigo Infant, Newborn Infant, Newborn, Diseases Male Skin Diseases, Vesiculobullous Streptococcal Infections Streptococcus agalactiae Pub Type(s) Case Reports English Abstract Journal Article Language ger PubMed ID 7008460 [unboundmedicine.com]
Key words: Streptococcus agalactiae, infection, newborn Introduction Streptococcus agalactiae, also called Group B Streptococcus (GBS), can cause early- and late-onset infections in neonates. [signavitae.com]
Workup
^ a b c d e f g h Acute Poststreptococcal Glomerulonephritis Workup at eMedicine ^ GBD 2015 Disease and Injury Incidence and Prevalence, Collaborators. (8 October 2016). [en.wikipedia.org]
When MRSA is suspected In the presence of an impetigo outbreak In the presence of poststreptococcal glomerulonephritis (PSGN); in such cases, urinalysis is also necessary Biopsy may be appropriate in doubtful or refractory cases of impetigo. [6] See Workup [emedicine.medscape.com]
Treatment
Impetigo neonatarum Treatment: Drying of the exudate by potassium permanganate 1: 9000 in the form of wet compresses and application of topical anti bacterial cream such as Muperacin (Bactropan cream). [impetigo-treatment.learnandenjoy.com]
Systemic treatment with erythromycin or flucloxacillin is required urgently. The patient should be isolated from other infants until fully recovered. [gpnotebook.co.uk]
24 on topical treatments. [aafp.org]
Prognosis Complete resolution in 7–10 days with treatment Antibiotic treatment will not prevent or halt glomerulonephritis, as it will rheumatic fever. If not clear within 7–10 days, culture is necessary to find resistant organism. [tipsdiscover.com]
Prognosis
distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention, prognosis, and additional useful information HERE. [dovemed.com]
[…] impetigo insect bites varicella atopic dermatitis immunocompromise Pathophysiology pathophysiology superficial skin blister ruptures and forms a crust nonbullous impetigo from host response to infection bullous impetigo caused by staphylococcal toxin Prognosis [step2.medbullets.com]
Prognosis [ 2 ] Full resolution is expected within two weeks of onset. 11% of patients develop a recurrence six weeks later. [patient.info]
Keywords: Impetigo, NVC-422, Clinical Phase 2, Staphylococcus, Streptococcus, MRSA Pub Med Prognosis of Impetigo Because impetigo responds rapidly to antibiotic therapy, the prognosis is excellent although it can reoccur. [lymphedemapeople.com]
Prognosis Complete resolution in 7–10 days with treatment Antibiotic treatment will not prevent or halt glomerulonephritis, as it will rheumatic fever. If not clear within 7–10 days, culture is necessary to find resistant organism. [tipsdiscover.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Etiology and Pathophysiology Coagulase-positive staphylococci: pure culture ~50–90%; more contagious via contact β-Hemolytic streptococci: pure culture only ~10% of the time (primarily group A) Mixed infections of streptococci and staphylococci are common [unboundmedicine.com]
Impetigo: etiology and therapy. Curr Clini Top Infect Dis. 2002;22:42-51. Koning S, van der Sande R, Verhagen AP, et al. Interventions for impetigo. Cochrane Database Syst Rev. 2012;1:CD003261. Johnston GA. [ebmedicine.net]
In newborn infants the usual etiologies are group B streptococci, aerobic gram- negative rods, and S. aureus. [microbiologybook.org]
Cases of recurrent ETN have been reported as well as cases with only focal lesions.5,11,12 The etiology of erythema toxicum neonatorum is unknown. [scielo.br]
Epidemiology
Epidemiology and Infection, Vol. 53, Issue. 4, p. 458. CrossRef Google Scholar Blair, John E. 1956. EPIDEMIOLOGICAL IMPLICATIONS OF STAPHYLOCOCCAL PHAGE TYPING. Annals of the New York Academy of Sciences, Vol. 65, Issue. 3, p. 152. [cambridge.org]
Epidemiology, treatment, and prevention of community-acquired methicillin-resistant Staphylococcus aureus infections. Mayo Clin Proc. 2005;80:1201–7; quiz 1208. [tipsdiscover.com]
“Epidemiologic study of the predisposing factors in erythema toxicum neonatorum”. Dermatology. vol. 210. 2005. pp. 269-72. [neurologyadvisor.com]
Pathophysiology
pathophysiology superficial skin blister ruptures and forms a crust nonbullous impetigo from host response to infection bullous impetigo caused by staphylococcal toxin Prognosis survival with treatment very good Presentation Nonbullous impetigo physcal [step2.medbullets.com]
Etiology and Pathophysiology Coagulase-positive staphylococci: pure culture ~50–90%; more contagious via contact β-Hemolytic streptococci: pure culture only ~10% of the time (primarily group A) Mixed infections of streptococci and staphylococci are common [unboundmedicine.com]
[citation needed] Acute proliferative glomerulonephritis most commonly occurs in children.[12] Pathophysiology[edit] The pathophysiology of this disorder is consistent with an immune-complex-mediated mechanism, a type III hypersensitivity reaction. [en.wikipedia.org]
Pathophysiology The condition has been known throughout the ages and was described by ancient Mesopotamian physicians [ 2 ]. [patient.info]
There is a possible etiological association of early-onset GBS sepsis with a late presentation of right-sided diaphragmatic hernia in infants, although the pathophysiological mechanism is not yet clear. [signavitae.com]
Prevention
Special attention is given to the prevention and treatment of these diseases found in developing countries as well as the latest findings about new antimicrobial agents, gram-negative infections and their management, and recommendations for immunization [books.google.de]
Treatable - 66% Emergent - ED Care Needed - Preventable/Avoidable - 34% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary [medicbind.com]
Special care and special precautions in nurseries are important in order to prevent spread of infection. [impetigo-treatment.learnandenjoy.com]
Epidemiology, treatment, and prevention of community-acquired methicillin-resistant Staphylococcus aureus infections. Mayo Clin Proc. 2005;80:1201–7; quiz 1208. [tipsdiscover.com]