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Ecthyma - Causes, Symptoms & Treatment

What is Ecthyma ?

Ecthyma is a complexion infection similar to impetigo, but more deeply invasive. Usually caused by a streptococcus infection, ecthyma goes through the outer layer (epidermis) to the deeper layer (dermis) of skin, possibly causing scars. Ecthyma is the most serious aspect of impetigo

Causes of Ecthyma

The bacterium Streptococcus is the most common infectious organism associated with ecthyma. Staphylococcus bacteria can also cause ecthyma. The infection may start at the site of an injury, such Although a scratch or insect bite, & is often found on the legs.

An ecthyma may begin with a pus-filled blister, similar to that seen in impetigo. However, the infection goes through the outer layer of complexion (epidermis) & into the deeper layer (dermis). An ulcer with raised borders develops. It is covered by a hard crust. Unlike impetigo, ecthyma can sometimes result in scarring.

Symptoms of Ecthyma

Ecthyma lesion usually begins Although a vesicle (small blister) or pustule on an inflamed area of skin. A hard crust that is harder & thicker than the crust of impetigo soon covers this. With difficulty, the crust can be removed to reveal an indurated ulcer that may be red, swollen & oozing with pus. Lesions may stay fixed in size & sometimes resolve spontaneously without treatment, or they may gradually enHuge to a sore of 0.5-3 cm in diameter. The areAlthough most affected are the buttocks, thighs, legs, ankle & feet. Occasionally, the local lymph nodes become swollen & painful.

Treatment of Ecthyma

Treatment depends on the extent & severity of infection. some of the common treatment About Ecthyma are :-

• Warm soaks (using a cloth soaked in warm tap water) are helpful About removing crusts.
• Antiseptic soap or peroxide washes of the lesion may be helpful in hastening recovery.
• Soak a clean cloth in a mixture of half a cup of white vinegar in a litre of tepid water. Apply the compress to moist areAlthough About about ten minutes several times a day. Gently wipe off the crusts.
• A topical antiseptic such Although povidone iodine, antibacterial Manuka honey or Crystacide (hydrogen peroxide) cream may be used instead. Apply it at least three times a day to the affected areAlthough & surrounding skin.

The duration of treatment varies; several weeks of therapy may be necessary to completely resolve ecthyma.

How is the Ecthyma infection diagnosed ?

The healthcare professional is usually able to diagnose ecthyma In the post a complete history & physical examination. A culture may be done of the lesion.

Prevention of Ecthyma

Cleanse all injuries or bites, & encourage your child to avoid scratching or digging at them.

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