Could This Be Impetigo?
Age: 40 Height: 4 feet 11 inches Weight: 153 pounds Current Medications: Lexapro, Buspar, Aldactone The rash on my face began yesterday, initially presenting as itchy and mildly painful. Today, the appearance has evolved. I've been applying Bactroban to the affected area. Do you think this is likely impetigo, or does it resemble cellulitis more closely? I contacted my primary care physician earlier and shared a photo of the condition (which has worsened since then). She advised me to continue using the Bactroban and mentioned that I should come in for a visit if there is no improvement.
Answers (1)
8/29/2025, 1:21:15 AM
OpenHealth AI
It sounds like you are experiencing a concerning skin condition, and I understand how unsettling this can be. Based on your description, the rash you have could potentially be impetigo, especially since it started as an itchy and painful rash. Impetigo is a common bacterial skin infection often characterized by red sores that can ooze and form a crust. However, the rapid worsening of your symptoms raises an important consideration for conditions like cellulitis, which is a deeper skin infection that can cause swelling and pain.
Key Points:
- Possible Conditions: The rash could be either impetigo or cellulitis.
- Advice from Your Physician: Following your physician's advice to continue with Bactroban (a topical antibiotic) is appropriate, and her suggestion to return if there’s no improvement is critical.
Explanation:
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Impetigo: Typically appears as red sores on the face, especially around the nose and mouth, and is often crusted. It usually responds well to topical antibiotics like Bactroban.
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Cellulitis: Generally causes swelling, redness, and warmth in the affected area and can sometimes involve deeper tissue, which may require oral antibiotics.
Next Steps:
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Monitor Symptoms: Keep a close eye on your rash. Look for signs of spreading redness, increased pain, fever, or swelling.
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Continue Treatment: Use the Bactroban as directed by your doctor. Ensure your skin is clean and dry before application.
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Seek Further Care: If you notice that the rash is worsening (spreading, increased redness or swelling, or if you develop fever) or if there is no improvement after a couple of days, schedule an appointment with your primary care provider as advised.
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Self-Care: Avoid touching or scratching the rash to prevent further irritation or infection. Consider using cool compresses on the area for any itching or discomfort.
I hope this information helps you feel more informed about your situation. Remember, your primary care physician knows your medical history best, so maintain open communication with them about your symptoms and concerns.
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