Recurrent staphylococcal conjunctivitis associated with facial impetigo contagiosa.
OBJECTIVE
To report the uncommon occurrence of impetigo contagiosa in the setting of recurrent staphylococcal conjunctivitis.


METHODS
Interventional case report.


METHODS
A 32-year-old patient had a recurrent painful red left eye and facial rash. Clinical examination revealed left bacterial conjunctivitis and facial bullous impetigo. Microbiology cultures were taken from the nose, conjunctiva, and facial lesions.


RESULTS
Microbiologic cultures grew Staphylococcus aureus, and hematology findings demonstrated an elevated white cell count with neutrophilia. Complete resolution was achieved with topical chloramphenicol ointment and oral dicloxacillin.


CONCLUSIONS
Although uncommon, bullous impetigo may be associated with recurrent staphylococcal conjunctivitis in adults. Recurrent infections may require nasal decolonization, systemic antibiotics, and antiseptic body wash.
Durkin
Shane R
SR
Department of Ophthalmology and Visual Science, Royal Adelaide Hospital, University of Adelaide, Adelaide, SA 5000, Australia. shane_durkin@yahoo.com
Selva
Dinesh
D
Huilgol
Shyamala C
SC
Guy
Stephen
S
Leibovitch
Igal
I
D000284:Administration, Oral; D000287:Administration, Topical; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002701:Chloramphenicol / Q000627:therapeutic use; D003234:Conjunctivitis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D004009:Dicloxacillin / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006801:Humans; D007169:Impetigo / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D009824:Ointments; D012008:Recurrence; D013211:Staphylococcus aureus / Q000302:isolation & purification
D000900:Anti-Bacterial Agents; D009824:Ointments; D002701:Chloramphenicol; D004009:Dicloxacillin