Blistering distal dactylitis caused by Staphylococcus aureus.
Blistering distal dactylitis is a superficial infection of the anterior fat pad on the volar surface of the distal portion of ordinarily a single finger. Although most commonly caused by group A beta-hemolytic streptococci, we report a case of blistering distal dactylitis caused by Staphylococcus aureus involving all the fingers and thumbs of a child. After results of a Gram's stain and culture established the diagnosis, the child responded rapidly to oral amoxicillin trihydrate/clavulanate potassium (Augmentin). Multiple fingers affected in blistering distal dactylitis may be a predictor of S. aureus as the causative agent.
Department of Family Practice, Naval Hospital, Charleston, South Carolina.
M C
MC
Norcross
D F
DF
Mitchell
D001768:Blister / Q000188:drug therapy / Q000382:microbiology*; D002675:Child, Preschool; D005385:Fingers; D006229:Hand Dermatoses / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D013207:Staphylococcal Skin Infections / Q000175:diagnosis / Q000188:drug therapy