Impetigo, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
5/5
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About this ebook
Impetigo is a medical disorder with vesiculo-pustular skin infection happening at all ages.
Impetigo is a very frequent infection of the superficial layer of the skin.
It can be classified into:
1. Non-bullous and
2. Bullous forms.
The non-bullous forms represent about 70%.
Bacterial Infections:
1. Gram positive bacteria such as Streptococcus and Staphphylococcus are frequent.
2. Gram negative bacteria such as Klebsiella, E.coli, Pseudomonas,
3. Various viral skin infections such as herpes zoster, herpes simplex, and varicella zoster viruses
4. Bullous pemphigoid
Impetigo is produced by streptococcus (strep) or staphylococcus (staph) bacteria.
Methicillin-resistant staph aureus (MRSA) is becoming a frequent cause.
Skin normally has many forms of bacteria on it.
Normally the main factor is a tear of the skin but bullous impetigo may involve intact skin and is almost invariably produced by S. aureus.
Symptoms of impetigo are:
1. One or many blisters that is filled with pus and ready to pop.
2. In infants, the skin is reddish or raw-looking where a blister has broken.
3. Blisters itch, are filled with yellow or honey-colored fluid and ooze and crust over
4. Rash that may start as a single spot, but spreads to other areas with scratching
5. Skin sores on the face, lips, arms, or legs that spread to other areas
6. Swollen lymph nodes near the infection
Culture and sensitivity to antibiotics of the discharge or crusts from skin lesions is done.
Biopsy may be necessary in doubtful or refractory patients of impetigo.
In bullous impetigo, few or no inflammatory cells are present within the bulla.
A polymorphous infiltrate is present in the upper dermis.
Acantholysis is noted in the granular layer.
In non-bullous impetigo, a serum crust is present above the epidermis.
Neutrophils are frequent within the crust. In addition, gram-positive cocci are observed.
Epidermal spongiosis and a severe dermal infiltrate of neutrophils and lymphoid cells are observed.
The purpose of treatment is to get rid of the infection and relieve the symptoms.
The doctor will apply an antibacterial cream.
The patient may need to take antibiotics by mouth if the infection is severe.
Local treatment affects cleansing, elimination of crusts, and frequent wet dressings applications.
If the condition is localized, topical mupirocin or fusidic acid is applied to the affected skin
Surgery to drain abscess and carbuncles may be necessary.
TABLE OF CONTENT
Introduction
Chapter 1 Impetigo
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Pimples
Chapter 8 Furuncle
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Impetigo, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Impetigo,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2015 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the Impetigo, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Impetigo)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Conditions
into a new Wordpress Blog A Family Doctor’s Tale
on http://ken-med.com.
From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical conditions.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Impetigo
Impetigo is a medical disorder with vesiculo-pustular skin infection happening at all ages.
Impetigo is a very frequent infection of the superficial layer of the skin.
It can be classified into:
1. Non-bullous and
2. Bullous forms.
The non-bullous forms represent about 70%.
Bacterial Infections:
1. Gram positive bacteria such as Streptococcus and Staphphylococcus are frequent.
2. Gram negative bacteria such as Klebsiella, E.coli, Pseudomonas,
3. Various viral skin infections such as herpes zoster, herpes simplex, and varicella zoster viruses
4. Bullous pemphigoid
The infecting organism is normally Staphylococcus aureus or a beta-hemolytic streptococcus, although other organisms or mixed flora may be present.
During the last 5 decades, there has been a large move from streptococci to staphylococci as the main causative micro-organisms.
What are the causes of Impetigo?
Causes
Impetigo is produced by streptococcus (strep) or staphylococcus (staph) bacteria.
Methicillin-resistant staph aureus (MRSA) is becoming a frequent cause.
Skin normally has many forms of bacteria on it.
Normally the main factor is a tear of the skin but bullous impetigo may involve intact skin and is almost invariably produced by S. aureus.
When there is a crack in the skin, bacteria can pass into the body and grow there.
This produces inflammation and infection.
Breaks in the skin may happen from injury or trauma to the skin or from insect, animal, or human bites.
Impetigo may also happen on skin where there is no visible break.
Impetigo is most frequent in children who live in unhealthy conditions.
In adults, it may happen following another