A mother brings her four-year-old son to your clinic. She noted several "blisters" on his check and around his nose. On examination, you note several large flaccid, thin-roofed bullae on both cheeks and extensive involvement around the nose, as well as the extremities. Which treatment is the most appropriate?
- bacitracin ointment
- mupirocin ointment
- erythromycin orally
- amoxicillin orally
- dicloxacillin orally
Answer: E
Dicloxacillin orally
This is impetigo (staph skin infection). For the Boards, use Dicloxacillin for staph. Mupirocin cream would be indicated if there was only a small area infected, although there now is an indication for Mupirocin (Bactroban) for staph in the nose. Erythromycin is not a bad choice but choose dicloxacillin orally for staph aureus.
Know Your Content Blueprint
Impetigo is covered as part of the PANCE Dermatology Blueprint
Review Topic: Impetigo (ReelDx)