Impetigo Health Dictionary

Impetigo: From 5 Different Sources


Skin disease with pus-filled itching lesions from bacterial infection. Primarily in children, particularly the under-nourished. Causative organisms: staphylococcus or beta haemolytic streptococcus. Vesicles burst and crust over. Gold-crusted lesions appear mainly on the face, hands and knees. Sometimes severe kidney infection may follow streptococcus invasion. Most common source of infection is the nose for which Garlic or Goldenseal are appropriate. May progress to boils or cellulitis. Alternatives. Blue Flag root (commended), Buchu, Chaparral, Clivers, Echinacea (profuse suppuration), Garlic, Goldenseal, Holy Thistle, Juniper, Marigold (Calendula), Myrrh, Poke root, Red Clover, Thyme (Wild), Wild Indigo, Wormwood, Yellow Dock (weeping).

Teas. Burdock leaves, Chaparral leaves, Clivers, Dandelion leaves, Figwort, Red Clover. Tablets/capsules. Blue Flag root, Dandelion root, Echinacea root, Devil’s Claw, Poke root, Seaweed and Sarsaparilla, Garlic.

Formula. Echinacea 2; Garlic 2; Goldenseal 1. Dose – Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons.

Topical. Remove crusts with liquid paraffin or strong infusion of Soapwort.

Cream: Comfrey, Marshmallow and Slippery Elm, Aloe Vera or Evening Primrose.

Tea Tree oil: 3 drops to each teaspoonful water; wipe over area with aid of cotton wool.

Tea Tree oil and Castor oil: equal parts; use as a ‘wipe-over’.

Diet. See: DIET, SKIN DISORDERS.

Supplements. Vitamin A (7,500iu); Vitamin C (500mg); Vitamin E (400iu). Zinc (15mg). Daily.

On retiring at night: 2-3 tablets/capsules, Garlic. 

Health Source: Bartrams Encyclopedia of Herbal Medicine
Author: Health Encyclopedia
A highly contagious skin infection, common in children, that usually occurs around the nose and mouth. It is caused by bacteria (usually staphylococci) entering areas of broken skin. The skin reddens and small, fluid-filled blisters appear. The blisters tend to burst, leaving moist, weeping areas that dry to leave honey-coloured crusts. In severe cases, there may be swelling of the lymph nodes in the face or neck and fever.

Topical antibiotic drugs can be used, but if the condition is widespread oral

antibiotics are usually given. To prevent spread of the infection, towels, flannels, and pillowcases should not be shared. Children should not go to school or mix with others until they have been treated for the condition.

Health Source: BMA Medical Dictionary
Author: The British Medical Association
An inflammation of the skin associated with discrete vesicles due to streptococcal infection
Health Source: Medical Dictionary
Author: Health Dictionary
An infectious skin disease caused usually by Staphylococcus aureus and less often by Streptococcus pyogenes. The itching rash is seen especially on the face but may spread widely. Vesicles and pustules erupt and dry to form yellow-brown scabs. Untreated, the condition may last for weeks. In very young infants, large blisters may form (bullous impetigo).

Treatment Crusts should be gently removed with SALINE. Mild cases respond to frequent application of mupiricin or NEOMYCIN/BACITRACIN ointment; more severe cases should be treated orally or, sometimes, intravenously with FLUCLOXACILLIN or one of the CEPHALOSPORINS. If the patient is allergic to penicillin, ERYTHROMYCIN can be used.

For severe, intractable cases, an oral retinoid drug called isotretinoin (commercially produced as Roaccutane®) can be used. It is given systemically but treatment must be supervised by a consultant dermatologist as serious side-effects, including possible psychiatric disturbance, can occur. The drug is also teratogenic (see TERATOGENESIS), so women who are, or who may become, pregnant must not take isotretinoin. It acts mainly by suppressing SEBUM production in the sebaceous glands and can be very e?ective. Recurrent bouts of impetigo should raise suspicion of underlying SCABIES or head lice. Bactericidal soaps and instilling an antibiotic into the nostrils may also help.

Health Source: Medicinal Plants Glossary
Author: Health Dictionary
n. a superficial bacterial infection of the skin. Nonbullous impetigo is caused by Staphylococcus aureus, Streptococcus species, or both organisms; it mainly affects young children and is highly contagious, with yellowish-brown crusting. Bullous impetigo is caused by Staph. aureus; it is characterized by blisters, is less contagious than the nonbullous form, and occurs at any age. Treatment of impetigo is with topical or systemic antibiotics.
Health Source: Oxford | Concise Colour Medical Dictionary
Author: Jonathan Law, Elizabeth Martin

Ecthyma

In debilitated or immunodepressed subjects, staphylococcal IMPETIGO or folliculitis (in?ammation of hair follicles [see SKIN]) may become ulcerated. This is called ecthyma and is seen in vagrants, drug addicts, and individuals with AIDS/HIV or uncontrolled DIABETES MELLITUS.... ecthyma

Crotalaria Juncea

Linn.

Family: Papilionaceae; Fabaceae.

Habitat: Throughout the plains of India, especially in South India.

English: Sun Hemp.

Ayurvedic: Shana, Shanapushpi, Malyapushpa.

Unani: Sunn.

Siddha/Tamil: Sanal, Manji, Sannappu.

Folk: Jhanjhaniaa.

Action: Leaf—demulcent, purgative, emetic, emmenagogue, abortifa- cient, ant-implantation. Given in diarrhoea, dysentery and bleeding disorders. Seeds—used in psoriasis and impetigo.

Seeds—hepatotoxic. Seed oil gave fatty acids—linoleic, linolenic and oleic.

Pyrrolizidine alkaloids—junceine, tricodesmine, riddelline, seneciphyl- line and senecionine were also obtained.

Dosage: Seed—1-3 g powder. (API Vol. III.)... crotalaria juncea

Crotalaria Verrucosa

Linn.

Family: Papilionaceae; Fabaceae.

Habitat: Tropical regions of India from Himalayas to Sri Lanka.

Ayurvedic: Shanapushpi. Shana (var.).

Siddha/Tamil: Sanal, Sannappu.

Folk: Sanai, Jhanjhaniaa.

Action: Juice of leaves—used for biliousness, dyspepsia, blood impurities, scabies and impetigo, both internally and externally.

Taraxerol, beta-sitosterol and linole- ic, palmitic, stearic, lauric, oleic, lino- lenic, arachidic, myristic and ricinoleic acids have been isolated from fixed oil of the stem.

Dosage: Seed—1-3 g powder. (CCRAS.)... crotalaria verrucosa

Quercus Infectoria

Oliv.

Family: Fagaceae.

Habitat: Indigenous to Greece, Syria and Iran. Yields oak galls.

English: Oak galls, Aleppo galls, Mecca galls.

Ayurvedic: Maajuphalaka, Maayaaphala, Maayakku.

Unani: Maazu. Maaphal.

Siddha/Tamil: Maasikkaai.

Action: Astringent. Bark and fruits—used for eczema and impetigo. Galls—used for diseases of gums and oral cavity (diluted with toothpowder or paste; also as a gargle in nasal catarrh and sore throat. An ointment (1 in 4 parts of vaseline) is applied externally in haemorrhoids. Also included in breast and vaginal firming creams. A decoction of galls is used as an enema in prolapus of rectum.

Key application: Quercus robur L. bark—externally, in inflammatory skin diseases; internally in nonspecific, acute diarrhoea, and local treatment of mild inflammation of the oral cavity and pharyngeal region, as well as of genital and anal area. (German Commission E.)

The Ayurvedic Pharmacopoeia ofIn- dia recommends the gall in leucor- rhoea, dry and itching vagina; topically for dental inflammations.

The fruits gave amentoflavone hex- amethyl ether, isocryptomerin and beta-sitosterol.

The alcoholic extract of fruits showed 36% liver protection against carbon tetrachloride-induced toxicity at a dose of 800 mg/kg.

The galls contain 50-70% gallo tannic acid, gallic acid 2-4%, ellagic acid, nyctanthic acid, rubric acid, besides sugars, starch, an essential oil and an- thocyanins. Galls were also found to contain beta-sitosterol, amentoflavone, hexamethyl ether and isocryptomerin.

Quercus robur (English or European oak) is reported to be cultivated in Nil- giris. The bark contains 15-20% tannins consisting of phlobatannin, ellagi- tannins and gallic acid.

The bark is contraindicated in cardiac insufficiency and hypertonia; externally on broken skin. (Sharon M. Herr.)

Dosage: Gall—1-3 g powder. (API, Vol. IV.)... quercus infectoria

Scab

The crust which forms on super?cial injured areas. It is composed of FIBRIN, which is exuded from the raw surface, together with blood corpuscles and epithelial cells entangled in its meshes. Healing takes place naturally under this protection, and the scab dries up and falls o? when healing is complete. Scabs appearing on the face without any previous abrasion are usually caused by an infection (see IMPETIGO).... scab

Scrum-pox

A popular name for a contagious condition of the face affecting rugby football players. It is most likely to occur in forwards as a result of face-to-face contact with individuals with the infection in the opposing side of the scrum. Other possible sources of infection are changing rooms and communal baths. The condition may take the form of IMPETIGO or HERPES SIMPLEX.... scrum-pox

Staph

This is short for Staphylococcus, a genus of micrococci bacteria with many members that can cause disease. They are gram-positive, nonmotile bacteria that are aerobic-(unless they need to be anaerobic). Staph of various types are responsible for boils and carbuncles; they may be involved in impetigo, toxic shock syndrome, endocarditis, osteomyelitis, and urinary tract infections, as well as some food poisoning. They stay around hospitals and veterinary clinics waiting to get you. They are also a normal part of the mouth, throat, and skin flora in a third to a half of all of us, causing no problems, but just waiting. Staph has always been with us. Some even eat our antibiotics for breakfast.... staph

Blister

A collection of fluid beneath the outer layer of the skin that forms a raised area. A blister contains fluid that has leaked from blood vessels in underlying skin layers after minor damage and protects the damaged tissue. Common causes are burns and friction. Blisters may also occur with pemphigus, pemphigoid, dermatitis herpetiformis, some types of porphyria, and some skin diseases. These include eczema, epidermolysis bullosa, impetigo, and erythema multiforme. Small blisters develop in the viral infections chickenpox, herpes zoster (shingles), and herpes simplex. Generally, blisters are best left intact, but large or unexplained blisters need medical attention.... blister

Skin, Diseases Of

They may be local to the SKIN, or a manifestation of systemic disorders – inherited or acquired. Some major types are described below.

Others appear under their appropriate alphabetical headings: ACNE; ALBINISM; ALOPECIA; ALOPECIA AREATA; APHTHOUS ULCER; BASAL CELL CARCINOMA; BOILS (FURUNCULOSIS); BOWEN’S DISEASE; CALLOSITIES; CANDIDA; CHEILOSIS; CHEIRAPOMPHOLYX; DANDRUFF; DERMATOFIBROMA; DERMATOMYOSITIS; DERMATOPHYTES; DERMOGRAPHISM; ECTHYMA; ERYSIPELAS; ERYTHEMA; ERYTHRASMA; ERYTHRODERMA; ESCHAR; EXANTHEM; FUNGAL AND YEAST INFECTIONS; HAND, FOOT AND MOUTH DISEASE; HERPES GENITALIS; HERPES SIMPLEX; HERPES ZOSTER; IMPETIGO; INTERTRIGO; KELOID; KERATOSIS; LARVA MIGRANS; LICHEN; LUPUS; MADURA FOOT; MELANOMA; MILIARIA; MOLLUSCUM CONTAGIOSUM; MOLE; MYCOSIS FUNGOIDES; NAEVUS; ORF; PEDICULOSIS; PEMPHIGUS; PHOTOCHEMOTHERAPY; PHOTODERMATOSES; PITYRIASIS; PORPHYRIAS; PRURITUS; PSORIASIS; RINGWORM; ROSACEA; SARCOIDOSIS; SCABIES; SCLERODERMA; URTICARIA; VITILIGO; WARTS; XANTHOMATA.

Skin cancer Primary cancer is common and chronic exposure to ultraviolet light is the most important cause. BASAL CELL CARCINOMA is the most common form; squamous cell carcinoma is less common and presents as a growing, usually painless nodule which may ulcerate. Squamous cancer may spread to regional lymph glands and metastasise, unlike basal cell cancer. Occupational exposure to chemical carcinogens may cause squamous carcinoma – for example, cancer from pitch warts or the scrotal carcinoma of chimney sweeps exposed to coal dust in earlier centuries. Squamous carcinoma of the lip is associated with clay-pipe smoking.

Cancer may arise from the population of melanocytes of the skin (see MELANOCYTE; MELANOMA).

Apart from these three most frequent forms of skin cancer, various forms of cancer can arise from cells of the dermis, of which LYMPHOMA is the most important (see also MYCOSIS FUNGOIDES).

Lastly, secondary deposits from internal cancer, particularly from the breast, may metastasise to the skin.

Dermatitis and eczema These are broadly synonymous, and the terms are frequently interchangeable. Eczema is a pattern of in?ammation with many potential causes. Dermatitis is commonly used to suggest an eczema caused by external factors; it is a common pattern of in?ammation of the skin characterised by redness and swelling, vesiculation (see VESICLE), and scaling with intense itching and often exudation (weeping). Fissuring, thickening (licheni?cation – see LICHEN) and secondary bacterial infection may follow. Dermatitis can affect any part of the body. It may be genetically detemined or due to other ‘internal’ factors, such as venous HYPERTENSION in a leg, or stress. Often it is ‘external’ in origin – due to strong irritants or chemical allergens. (See also ALLERGY; ALLERGEN.) ATOPIC DERMATITIS is genetic in origin and usually begins in infancy. It may persist for years, and ASTHMA, allergic RHINITIS and conjunctivitis (see under EYE, DISORDERS OF) – ‘hay fever’ – may be associated. Atopic children tend to have multiple allergies, especially to inhaled allergens such as house-dust mite, cat and dog dander and pollens. Allergy to foods is less common but potentially more dangerous, especially if to nuts, when it can cause acute URTICARIA or even ANAPHYLAXIS. Atopic subjects are particularly prone to persistent and multiple verrucae (see WARTS) and mollusca (see MOLLUSCUM CONTAGIOSUM) and to severe HERPES SIMPLEX infections. (See also ATOPY.)

EXFOLIATE DERMATITIS (PITYRIASIS RUBRA)

Generalised exfoliation and scaling of the skin, commonly with ERYTHEMA. Drugs may cause it, or the disorder may be linked with other skin diseases such as benign dermatoses and lupus erythematosus (see under LUPUS). SUMMER POMPHOLYX is an acute vesicular eczema of the palms and soles recurring every summer. Inhaled allergens are a frequent cause. VENOUS (STASIS) DERMATITIS begins on a lower calf, often in association with PURPURA, swelling and sometimes ulceration. Chronic venous hypertension in the leg, consequent on valvular incompetence in the deep leg veins owing to previous deep vein thrombosis (see VEINS, DISEASES OF), is the usual cause. NEURODERMATITIS A pattern of well-de?ned plaques of licheni?ed eczema particularly seen on the neck, ulnar forearms or sides of the calves in subjects under emotional stress. IRRITANT CONTACT DERMATITIS Most often seen in an industrial setting (occupational dermatitis), it is due to damage by strong chemicals such as cutting oils, cement, detergents and solvents. In almost all cases the hands are most severely affected. ALLERGIC CONTACT DERMATITIS, in contrast, can affect any part of the body depending on the cause – for example, the face (cosmetics), hands (plants, occupational allergens) or soles (rubber boots). Particularly common allergens include metals (nickel and chromate), rubber addititives, and adhesives (epoxy resins).

Treatment Avoidance of irritants and contact allergens, liberal use of EMOLLIENTS, and topical application of corticosteroid creams and ointments (see CORTICOSTEROIDS) are central.... skin, diseases of

Mupirocin

A topical antibacterial cream or ointment used to treat skin infections such as impetigo.... mupirocin

Cider Vinegar

Apple cider vinegar. Rich in potassium and other associated trace minerals. What calcium is to the bones, so is potassium to the soft tissues.

Action: detoxifier, antiseptic, anti-catarrhal, bitter, stomachic, antimicrobial.

Uses: Often successful against staphylococcal and streptococcal infection (impetigo, etc). High blood pressure, dizziness, overweight, chronic headache, chronic fatigue, chronic lack of stomach acid in old age, diarrhoea, mucous colitis, diverticulosis, Crohn’s disease, nausea, vomiting, red-brick deposit in the urine. For shingles, to alleviate itching and burning: apply neat to skin, two-hourly day or night. The neat vinegar applied, freely, for ringworm, varicose veins, and burns to remove smarting. To prevent night sweats, wipe down with neat vinegar.

Dosage is an individual matter. 1, 2 or 3 teaspoons to glass of water at each meal is helpful for destroying harmful bacteria in the digestive tract and to maintain good general health. ... cider vinegar

Patchouli

Pogostemon cablin

FAMILY: Lamiaceae (Labiatae)

SYNONYMS: P. patchouly, patchouly, puchaput.

GENERAL DESCRIPTION: A perennial bushy herb up to 1 metre high with a sturdy, hairy stem, large, fragrant, furry leaves and white flowers tinged with purple.

DISTRIBUTION: Native to tropical Asia, especially Indonesia and the Philippines. It is extensively cultivated for its oil in its native regions as well as India, China, Malaysia and South America. The oil is also distilled in Europe and America from the dried leaves.

OTHER SPECIES: Closely related to the Java patchouli (P. heyneanus), also known as false patchouli, which is also occasionally used to produce an essential oil.

HERBAL/FOLK TRADITION: The oil is used in the East generally to scent linen and clothes, and is believed to help prevent the spread of disease (prophylactic). In China, Japan and Malaysia the herb is used to treat colds, headaches, nausea, vomiting, diarrhoea, abdominal pain and halitosis. In Japan and Malaysia it is used as an antidote to poisonous snakebites.

ACTIONS: Antidepressant, anti-inflammatory, anti-emetic, antimicrobial, antiphlogistic, antiseptic, antitoxic, antiviral, aphrodisiac, astringent, bactericidal, carminative, cicatrisant, deodorant, digestive, diuretic, febrifuge, fungicidal, nervine, prophylactic, stimulant (nervous), stomachic, tonic.

EXTRACTION: Essential oil by steam distillation of the dried leaves (usually subjected to fermentation previously). A resinoid is also produced, mainly as a fixative.

CHARACTERISTICS: An amber or dark orange viscous liquid with a sweet, rich, herbaceous earthy odour – it improves with age. It blends well with labdanum, vetiver, sandalwood, cedarwood, oakmoss, geranium, clove, lavender, rose, neroli, bergamot, cassia, myrrh, opopanax, clary sage and oriental-type bases.

PRINCIPAL CONSTITUENTS: Patchouli alcohol (40 per cent approx.), pogostol, bulnesol, nor patchoulenol, bulnese, patchoulene, among others.

SAFETY DATA: Non-toxic, non-irritant, non-sensitizing.

AROMATHERAPY/HOME: USE

Skin care: Acne, athlete’s foot, cracked and chapped skin, dandruff, dermatitis, eczema (weeping), fungal infections, hair care, impetigo, insect repellent, sores, oily hair and skin, open pores, wounds, wrinkles.

Nervous system: Frigidity, nervous exhaustion and stress-related complaints.

OTHER USES: Extensively used in cosmetic preparations, and as a fixative in soaps and perfumes, especially oriental types. Extensively used in the food industry, in alcoholic and soft drinks. It makes a good masking agent for unpleasant tastes and smells.... patchouli




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