Streptococcal impetigo: symptoms, causes, diagnosis, treatment

August 12, 2017 15:30 | Impetigo

bacterial disease strep impetigo( impetigo Tilbury Fox, not to be confused with staphylococcal, vulgar impetigo) is highly contagious, but it can be treated successfully.The disease passes without a trace, leaving no scarring, spots or scars on the skin.

Features of the disease

Disease often occurs in children, in children's institutions takes the form of an epidemic. Pathogens of this type of impetigo - streptococci, refer to the inhabitants of normal microflora in humans, transmitted by contact, through toys, household items, personal belongings.

In adulthood, women who have more tender skin than men are more likely to get sick.There are also better chances to develop streptococcal impetigo with light-skinned blondes, red-haired.The surface layer of skin in these people is thin, easier to overcome by bacteria.

oozing contagious impetigo( photo)

Impregnating contagious impetigo photo


Impetigo is divided into:

  • primary - evolved with the introduction of a streptococcal infection;
  • secondary - streptococci are br
    ought on by combing, which causes itching for dermatitis, scabies.

The disease is characterized by a variety of forms.Most often children have to deal with the following types of streptococcal impetigo:

  • slit( seizure);
  • bullous;
  • nail congestion;
  • is syphilis-like;
  • ring-shaped;
  • streptococcal intertrigo.

Elena Malysheva in the video tells the streptococcal impetigo in more detail:


streptococcal infection promotes the destruction of the surface layer of the skin, disturbance of its integrity.Streptococci are easily transmitted by maceration of the skin - the swelling of the surface stratum corneum under the influence of water, diaper rash, and trauma.

The main cause of infection with streptococcal impetigo is contact with a sick person.Factors contributing to the disease are:

  • hot climate;
  • high humidity;
  • personal hygiene disorder;
  • weakened immunity;
  • skin diseases;
  • metabolic disorder.

Foci of lesions are most often observed in open areas of the body - the face, limbs, hands, feet.Rash flies in the form of impetigo can occupy vast areas, found on the trunk, buttocks, hips, face.


Streptococcal impetigo disease begins with redness, edema and skin rash on her phlyctenas - formation of small, the size of millet seed, blisters( vesicles, pustules) filled with a transparent fluid or pus.The average diameter phlyctenas is from 2 to 10 mm, but in some forms of streptococcal impetigo phlyctenas can reach pea size, diameter 2 cm, transformed into blisters( bullae) filled with pus.

Flickety in a week burst, and in their place a light crust of yellowish color is formed.After another 2 days, the crust dries up, disappears, and in its place remains a damp erosive stain.Fliktena can not be opened, and after 5-7 days it will dry up and disappear, after its disappearance there will be only reddening, depigmentation of the skin is a bright speck on the skin, devoid of pigment.


Diagnosis of the disease is based:

  • on external examination;
  • data from microscopic studies that allow differentiating streptococcal impetigo from other infectious skin diseases;
  • study of the nature of skin lesions that preceded infection.

Strep impetigo differentiated from syphilitic pemphigus, erythema, epidermolysis bullosa, eczema, fungal infections.

On how to treat impetigo in a child and an adult, we will tell below.

About the symptoms and diagnosis of impetigo tell this video:

Treatment of streptococcal impetigo in children and adults

The method of treatment depends on the variety of impetigo, the aggressiveness of the bacterial strain that caused the disease, the timeliness of treatment. For infants and children under one year of age, it is not possible to treat the child on their own, it is necessary to call a pediatrician at home.

In the early stages, with a slight lesion of the skin, local treatment is limited.Running cases of a common skin infection, deeply affected large skin folds, which caused long-lasting non-healing cracks, resort to antibiotic prescriptions, perform skin treatment, and open up fiction.

If streptococcal infection, accompanied by a change in the formula of the blood, worsening of well-being, prescribe antibiotics in injections or pills for oral administration.


Outwardly the rashes of small flies are treated with antiseptics.Apply solutions of salicylic, camphor alcohol, 40% solution of medical alcohol.External treatment of rashes with ointments containing antibacterial agents - Bactroban, levomycetin liniment, erythromycin ointment.

Pustules should be treated 3 times a day for 10 days.And after the course of treatment, the lesion focus for another 10 days is not washed with water, but wiped with alcohol solution.

The condition for fast recovery is compliance with the doctor's recommendations:

  • compliance with hygiene rules;
  • excludes the treatment of damaged skin with water, the skin is rubbed to maintain the purity of salicylic alcohol solution.


Streptococcal impetigo In the absence of the result of external therapy with solutions of antiseptics, ointments, prescribe drugs in tablets.An important component of treatment are antibacterial agents that are sensitive to streptococci.

These drugs include antibiotics:

  • penicillin group;
  • cephalosporin series;
  • fluoroquinolones.

Antibiotics of the penicillin line serve as a drug effective against streptococci, but because of the ability to cause allergies in children, they are replaced with cephalosporins.The advantage of antibiotics of this group is their high efficiency, wide spectrum of activity.

Treatment of impetigo streptococcal at home is discussed below.

Folk methods

In case of streptococcal impetigo, folk medicine can effectively help get rid of the disease with the help of effective simple recipes.Especially useful are folk recipes in the early stages of infection in simple cases, not complicated by extensive rashes, suppuration, the formation of deep cracks, erosion.

  • Anti-inflammatory properties include chamomile, sage, calendula.Mixtures of these herbs in any proportion can be brewed on a tablespoon on a glass of water and drink during the day 3 times half the glass.
  • Fresh marigold juice, alcoholic infusion of flowers of this plant is used for rubbing the affected skin areas.

It will help to cope with streptococcal impetigo prescription treatment using birch tar.For the preparation of the ointment, you will need:

  • baby cream - 100 g;
  • birch tar - 10-20 g.

Ingredients are mixed, heated in a water bath to 60 degrees, poured into a prepared clean container.Ointment is applied 2 times a day after treatment with a solution of drinking soda, heated to 40 degrees.After treatment with a solution of soda, do not wipe the skin, apply ointment after drying.The ointment is not rubbed into the skin and is not washed off.


Prevention measures include sanitary and epidemiological surveillance in children's institutions, as well as personal hygiene.Ill children during treatment are not washed, and to keep the skin clean, the affected areas are wiped with vodka or salicylic alcohol.

Streptococcal impetigo photos

Streptococcal impetigo photos Complications

Common forms of streptococcal impetigo may be complicated by

  • pyelonephritis,
  • heart disease( myocarditis).


Streptococcal impetigo, provided that personal hygiene is observed, the recommendations of the doctor are successfully treated.After 7-10 days of the procedure, complete recovery is noted.

About what you need to know about streptococcal impetigo, this video story will tell: