Impetigo Contagiosa - Symptoms, Reasons And Treatment

Written by Medicover Team and Medically Reviewed by Dr Girishma J , Dermatologists


Impetigo contagiosa is a skin infection caused by bacteria, typically Staphylococcus aureus or Streptococcus pyogenes. This contagious condition mainly affects children but can also occur in adults. The bacteria enter the skin through cuts, insect bites, or other breaks in the skin's protective barrier. It spreads easily through direct contact with the sores or by touching contaminated items like towels or clothing.

The hallmark of impetigo contagiosa is the development of red sores or blisters that quickly rupture, forming honey-colored crusts. Good hygiene practices, such as frequent handwashing and keeping skin wounds clean and covered, can help prevent the spread of impetigo. If you suspect you or your child may have impet


What Are the Types of Impetigo Contagiosa?

Impetigo contagiosa, a highly contagious bacterial skin infection, primarily manifests in two main types: nonbullous and bullous impetigo. Nonbullous impetigo typically presents with honey-colored crusts on the skin, while bullous impetigo features fluid-filled blisters that may be larger in size.

Both types are commonly caused by Staphylococcus aureus or Streptococcus pyogenes bacteria and can spread through direct contact. Proper hygiene, wound care, and antibiotic treatment are essential in managing impetigo contagiosa to prevent its transmission and complications.

  • Bullous impetigo: Characterized by fluid-filled blisters that may be clear or cloudy.
  • Non-bullous impetigo: Presents as red sores or blisters that rupture, ooze, and form a honey-colored crust.
  • Ecthyma: A more severe form that penetrates deeper into the skin, forming ulcers with a thicker crust.

What Are the Symptoms of Impetigo Contagiosa

These crusts can be itchy and may spread easily to other areas of the body. Patients may also experience swollen lymph nodes near the affected area and develop a fever in some cases. It is important to seek medical attention if you suspect you have impetigo to receive the appropriate treatment and prevent further spread of the infection.

  • Impetigo contagiosa may present with red sores that burst and ooze honey-colored fluid.
  • Itchy rash with blisters that can spread to other areas of the body.
  • Lesions typically develop around the face, especially the mouth and nose.
  • Affected skin may be painful, swollen, and have a distinct crusty appearance.
  • Fever and swollen lymph nodes may accompany severe cases of impetigo contagiosa.

What Causes Impetigo Contagiosa?

Factors that increase the risk of developing impetigo include poor hygiene, warm and humid environments, crowded living conditions, and close contact with infected individuals. Children, especially those between 2 to 6 years old, are more susceptible due to their underdeveloped immune systems and increased likelihood of skin injuries during play.

Understanding these underlying causes is crucial in preventing and managing the spread of impetigo contagiosa.

  • Impetigo contagiosa can be caused by bacteria such as Staphylococcus aureus or Streptococcus pyogenes.
  • Poor hygiene practices, especially in crowded or unclean environments, can increase the risk of developing impetigo contagiosa.
  • Skin injuries, such as cuts, insect bites, or other breaks in the skin barrier, provide entry points for impetigo-causing bacteria.
  • Warm and humid climates create favorable conditions for the growth and spread of bacteria responsible for impetigo contagiosa.
  • Individuals with weakened immune systems or pre-existing skin conditions are more susceptible to contracting impetigo contagiosa.

When Should You See a Doctor for Impetigo Contagiosa?

Consult a dermatologist if skin sores spread rapidly or do not improve within a few days.

  • Honey-colored crusts on the skin
  • Painful or spreading blisters
  • Fever or swollen lymph nodes
  • Multiple sores or widespread rash
  • Signs of infection despite home care

Early diagnosis and treatment help prevent the infection from spreading and reduce the risk of complications.

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How Is Impetigo Contagiosa Diagnosed?

A healthcare provider may also perform a bacterial culture by swabbing the affected area to determine the specific bacteria causing the infection. In some cases, a skin biopsy may be recommended for a more definitive diagnosis.

Additionally, a thorough medical history and discussion of symptoms with the patient are essential in the diagnostic process. If you suspect impetigo contagiosa, it is crucial to seek medical attention for proper evaluation and treatment.

  • Impetigo contagiosa diagnosis typically involves a physical examination of the skin lesions by a healthcare provider.
  • Visual inspection, noting characteristic symptoms like honey-colored crusts and red sores, aids in diagnosing impetigo contagiosa.
  • A swab or culture may be taken from the affected skin to identify the bacteria causing impetigo contagiosa.
  • Laboratory tests, such as a bacterial culture, help confirm the presence of Streptococcus or Staphylococcus bacteria.
  • Differential diagnosis may be necessary to distinguish impetigo contagiosa from other skin conditions with similar symptoms.

How Is Impetigo Contagiosa Treated?

Treatment for impetigo contagiosa aims to eliminate the bacterial infection, relieve symptoms, promote faster healing, and prevent the infection from spreading. The treatment plan depends on the severity, extent of the infection, and the patient's overall health.

  • Topical Antibiotics: For mild or localized infections, antibiotic ointments such as mupirocin or retapamulin are commonly prescribed to kill the bacteria and speed up healing.
  • Oral Antibiotics: If the infection is widespread, severe, or involves multiple areas of the body, oral antibiotics such as cephalexin, dicloxacillin, or other appropriate antibiotics may be recommended.
  • Wound Care: Gently washing the affected skin with mild soap and water helps remove crusts, reduces bacterial growth, and improves the effectiveness of topical medications.
  • Supportive Care: Keeping the affected area clean and dry, avoiding scratching or picking at the sores, and not sharing towels, clothing, or personal items help prevent the infection from spreading to others.
  • Follow-up Care: Most cases improve within a few days of starting treatment. If symptoms worsen, new sores develop, or the infection does not improve, consult your healthcare provider for further evaluation and treatment adjustments.

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What Are the Risk Factors for Impetigo Contagiosa?

Certain factors increase the likelihood of developing impetigo contagiosa or spreading the infection to others.

  • Close contact with someone already infected with Impetigo contagiosa increases the risk of contracting the infection.
  • Poor hygiene practices, such as infrequent handwashing or not keeping the skin clean, can contribute to developing Impetigo contagiosa.
  • Living in crowded or unsanitary conditions, where bacteria can easily spread, raises the likelihood of getting Impetigo contagiosa.
  • Having cuts, insect bites, or other breaks in the skin provides entry points for the bacteria responsible for Impetigo contagiosa.
  • Individuals with weakened immune systems, such as those with diabetes or HIV/AIDS, are more susceptible to Impetigo contagiosa.

Frequently Asked Questions

1. What are the signs of impetigo contagiosa?

Common signs include red sores, blisters, and yellowish or honey-colored crusts, usually around the nose, mouth, or exposed skin.

2. What precautions should be taken for impetigo contagiosa?

Keep the affected skin clean, avoid scratching or touching the sores, wash hands frequently, and avoid sharing towels or personal items.

3. Can impetigo contagiosa cause complications?

Yes. Untreated impetigo can sometimes lead to cellulitis or, rarely, post-streptococcal glomerulonephritis.

4. How is impetigo contagiosa managed?

Management includes keeping the skin clean and using prescribed topical or oral antibiotics, depending on the severity of the infection.

5. Can impetigo contagiosa come back after treatment?

Yes. Reinfection can occur, especially with repeated exposure to the bacteria. Good hygiene and avoiding close contact with infected sores can help reduce the risk.

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