Ecthyma: Causes, Symptoms and Treatment

Acne Help (Home) > Rare Skin Disorders > Ecthyma

Ecthyma is a skin infection characterised by crusted sores beneath which ulcers form. It is a deep form of impetigo as the same bacteria causing the infection are involved but ecthyma causes deeper erosions of the skin.

The streptococcal organism most often causes ecthyma. Any trauma or break in the skin allows the bacteria to begin growing.

Ecthyma usually arises on the lower legs or feet of children, diabetics, or neglected elderly people.

Soak a clean cloth in a mixture of half a cup of white vinegar in a litre of tepid water. Apply the compress to moist areas for about ten minutes several times a day. Gently wipe off the crusts.

A topical antibiotic ointment such as fucidic acid or mupirocin is often prescribed for localised ecthyma. A topical antiseptic such as povidone iodine, antibacterial Manuka honey or Crystacide (hydrogen peroxide) cream may be used instead. Apply it at least three times a day to the affected areas and surrounding skin. The treatment should be applied after removing crusts. Look carefully for new lesions to treat. Continue for several days after healing.

Oral antibiotics are recommended if the infection is extensive or proving slow to respond to topical antibiotics. The preferred antibiotic is penicillin, however the antibiotic chosen should be active against both Streptococcus pyogenes and Staphylococcus aureus (usually dicloxacillin or flucloxacillin). The duration of treatment varies; several weeks of therapy may be necessary to completely resolve ecthyma.

In tropical climates pay attention to hygiene and use insect repellents to reduce bites.

1. Bacterial Skin Infections
Bacterial Skin Infections The skin provides an outstandingly good barrier against bacterial infections. Although many bacteria come in contact with or reside on the skin, they are normally unable [...] 3. Acne Diagnosis
Acne Diagnosis The diagnosis of acne is based on the history and physical examination. Lesions most commonly develop in areas with the greatest concentration of sebaceous glands, which include [...]

 View the original article here