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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Article Home Children's Health Pyoderma in children

Pyoderma in children

Bacterial infections of the skin are usually caused by Staphylococcus aureus or group A-beta hemolytic streptococci.
  • Staphylococci produces deeper lesions like bullous and have reddish blood like scaling without the surrounding erythema.
  • Streptococci produces thick yellow crusts. Deeper lesions are associated with enlarged lymph nodes. Deeper lesions are associated with constitutional symptoms like fever, body pain, headache, fatigue etc.
  • Pseudomonas pyodrema causes superficial papules and macules and pustular lesions. The lesions will have blue-green pus.

Impetigo: It is the most common bacterial infection. It is the superficial skin infection. It involves the epidermis. The lesions are superficial, multiple, white-yellow pustules which rupture leaving behind raw reddish base. Bullous for of impetigo produces blisters.

  • Furunculosis: Furuncles or boils are abscesses around the hair follicles and are caused by staphylococci.
  • Ecthyma: It is the lesion of lower and upper epidermis. It produces thick brown or black crusts over raw reddish base.
  • Follicilitis: It is the superficial infection of hair follicle.
  • Cellulitis: It is the infection of dermis and subcutaneous tissue. It is the infection of deeper layers of the skin.


  • Tepid water or cold compressions are applied to remove crusts.
  • Application of topical antibiotic creams, gels or lotions are applied. The commonly used antibiotics used topically are bacitracin, mupirocin, and neomycin.
  • Systemic antibiotics: They are given for severe and deeper lesions. Systemic antibiotics commonly used are erythromycin, amoxicillin, cloxacillin, ciprofloxacin, cephalexin, penicillin, sulphonamides.
  • Pain relievers like acetaminophen, ibuprofen can be administered for pain and swelling.