Staph.aureus causing non-bullous impetigo are not the types associated with toxic shock and scalded skin syndromes. Differential Diagnosis Herpes skin infections- usually in clusters and have prodrome of pain or itching. Tinea corporis scabies that has become crusted by scratching or has become impetiginized. More common in young children and infants. The etiology is Staphylococcus aureus coag.positive, the same types that are associated with toxic shock and scalded skin syndromes.
Bulla develop on previously intact skin and cause a clear fluid blister that ruptures easily.
Aspirate of fluid will grow Staph. Heals without scarring. Apply three times daily for 7-10 days. May need to soften crusts prior to applying with moist cloth. Rare bacterial resistance.