A patient has vesiculopustular lesions around the nose and mouth with areas of honey-colored crusts. The provider notes a few similar lesions on the patient's hands and legs. Which treatment is appropriate for this patient?

Question

Quizplus · Accepted Answer

Vesiculopustular lesions with honey-colored crusts suggest impetigo, which is commonly caused by Staphylococcus aureus or Streptococcus pyogenes. Topical mupirocin, 2% ointment, is an appropriate treatment for localized impetigo. Culture and sensitivity testing may be performed if the infection does not respond to initial treatment or if it is severe or recurrent. Sulfamethoxazole-trimethoprim may be used if systemic treatment is necessary, but it is not the first-line therapy for uncomplicated impetigo. Surgical referral is not indicated for this condition.

A Patient Has Vesiculopustular Lesions Around the Nose and Mouth