Bullous impetigo with hypopyon sign in a child.

Abstract

A 5-year-old was examined in the dermatology clinic with multiple blisters and suppurative lesions on his face for a week. The lesions began as blisters on the chin, progressing to become crusty, pus-filled lesions. His 4-year-old brother had a similar history that began 2 weeks earlier and resolved with antibiotics. Dermatological examination showed multiple vesicles, some pus-filled blisters, myeliceric crusted plaques and erosions on the chin, left hemiface, and neck. On the lesions of the face and neck, the sign of hypopyon (transverse level of pus) was noted. (Fig. 1 and box). Culture of pus from one lesion showed Staphylococcus aureus. The child was treated with oral and topical antibiotics for one week.