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Updated: Jun 25, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
[Pediatric dermatology. New aspects of bacterial skin infections in children]
1Klinik und Poliklinik für Dermatologie am Biederstein, TU München, München. Heidelore.Hofmann@lrz.tu-muenchen.de
Insights
This review covers common pediatric bacterial skin infections like impetigo and Lyme disease. Early diagnosis and understanding pathogen resistance are key for effective treatment in children.
Area of Science:
- Pediatric Dermatology
- Infectious Diseases
- Bacteriology
Context:
- Bacterial skin infections are prevalent in children.
- Common pathogens include Staphylococcus aureus, Streptococcus pyogenes, and Borrelia burgdorferi.
- Accurate diagnosis and treatment are crucial for pediatric patients.
Purpose:
- To review key aspects of bacterial skin diseases in children.
- To highlight diagnostic challenges and treatment considerations for common pediatric skin infections.
- To emphasize the importance of pathogen identification and local resistance patterns.
Summary:
- Focuses on Staphylococcus aureus, Streptococcus pyogenes, and Borrelia burgdorferi as common causes of pediatric skin infections.
- Discusses the variable presentation of erythema migrans in early Lyme borreliosis and its hematogenic spread.
- Addresses impetigo treatment, considering comorbidities, pathogens, and resistance, noting the new topical antibiotic retapamulin.
- Highlights underdiagnosed perianal streptococcal disease, emphasizing diagnosis via culture and penicillin treatment.
Impact:
- Aids clinicians in the early and accurate diagnosis of pediatric bacterial skin diseases.
- Informs treatment strategies by considering specific pathogens and local antibiotic resistance.
- Improves management of impetigo and perianal streptococcal disease in children.
- Enhances understanding of Lyme borreliosis presentation in pediatric populations.
Abstract:
We review important aspects of bacterial skin diseases in children, most commonly caused by Staphylococcus aureus, group A beta-hemolytic streptococci (Streptococcus pyogenes) and Borrelia burgdorferi. For early diagnosis of Lyme borreliosis in children it is important to be familiar with the variable clinical presentation of erythema migrans and early hematogenic dissemination with multiple erythemata migrantia. Treatment of impetigo in children requires consideration of concomitant diseases, the specific pathogen as well as local resistance patterns. Recently retapamulin has been released as a new antibiotic for topical use in impetigo contagiosa. Perianal streptococcal disease has been underdiagnosed and is an important differential diagnosis of perianal skin disease in children. Diagnosis is made by culturing group A beta-hemolytic streptococci; a 2-week course of oral penicillin represents the treatment of choice.
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