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Recurrent staphylococcal conjunctivitis associated with facial impetigo contagiosa
Shane R Durkin1, Dinesh Selva, Shyamala C Huilgol
1Department of Ophthalmology and Visual Science, Royal Adelaide Hospital, University of Adelaide, Adelaide, SA 5000, Australia. shane_durkin@yahoo.com
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.
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