Source
Department of Ophthalmology and Visual Science, Royal Adelaide Hospital, University of Adelaide, Adelaide, SA 5000, Australia. shane_durkin@yahoo.com
Abstract
PURPOSE:
To report the uncommon occurrence of impetigo contagiosa in the setting of recurrent staphylococcal conjunctivitis.
DESIGN:
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.