Impetigo contagiosum

A 3-year-old boy presented with multiple, erythematous, oozy and crusted patches with honey-coloured crustation in periorificial distribution mainly around the nose and mouth of 4 days duration. Impetigo contagiosum is a common superficial bacterial skin infection usually caused by group-A beta-haemolytic streptococci and/or Staphylococcal aureus. It commonly occurs in children and can involve any body area especially the periorificial sites of the face. One week course of oral cephalexin plus fusidic acid cream resulted in cure.