- Superficial pyoderma
- Streptococcal impetigo
- Impetigo contagiosa
- 041.01 Streptococcus infection in conditions classified elsewhere and of unspecified site, Streptococcus, group A
- B95.0 Streptococcus, group A, as the cause of diseases classified elsewhere
- Streptococcus pyogenes (group A Streptococcus) is responsible for infections in the skin
- Highly infectious skin rash, spreads rapidly
- It occurs most often in tropical climates or during the summer months in non-tropical climates
- With this infection, the patient is usually afebrile and has no pain.
- Lesions are most often on the face and extremities and may become a mild but chronic illness if untreated
- Most common in children, particularly those in unhealthy living conditions
- In adults, it may follow other skin disorders or a recent upper respiratory infection, such as a cold or other virus
- Preceding a streptococcal respiratory infection
- Diagnosis is usually made by considering medical history and signs and symptoms, including the distinctive sores
- A culture may be used to confirm the diagnosis or to rule out another cause
- Highly contagious and can be spread through close contact or sharing items
- Scratching can spread the sores to other parts of the body
- It can be difficult to distinguish clinically between skin infection caused by streptococci and other bacteria such as Staphylococcus
- Highest prevalence in children 2 to 5 years of age
- Can be seen in adults, but is more prevalent in children
- Blisters filled with pus
- Vomiting: childhood type
- Itching blister
- Erythematous denuded areas
- Honey-colored crusts
- Localized area of redness
- Purulent vesicles covered with a thick, confluent, honey-colored fluid
- Swollen lymph nodes near the infection
- Lesions most often on face, lips, arms, and legs
- Very contagious, limiting contact and social status
Possible Contributing Causes
- Skin lesions
- Circulation impairment
- Contact with someone with the skin infection
- Herpetic impetigo
- Pemphigus vulgaris
- Pemphigus foliaceus
- Pseudomonas folliculitis
- Follicular mucinosis
- S. aureus infection
- Insect bites
- Culture of the skin or lesion
- Blood cultures: leukocytosis tests
- Skin integrity
- Joint ROM
- Muscle strength
- Functional mobility
- Home management
- Integumentary integrity
- Shape and size of skin involvement
- Presence of rash, fungi, blistering, ecchymosis, hair growth, signs of infection
- Skin temperature
- Tissue mobility: turgor, texture
- Capillary refill, palpation of pulses
- Volume ...
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