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Recurrent staphylococcal conjunctivitis associated with facial impetigo contagiosa.

Durkin SR, Selva D, Huilgol SC, Guy S, Leibovitch I

Department of Ophthalmology and Visual Science, Royal Adelaide Hospital, University of Adelaide, Adelaide, SA 5000, Australia. shane_durkin@yahoo.com

PURPOSE: To report the uncommon occurrence of impetigo contagiosa in the setting of recurrent staphylococcal conjunctivitis. DESIGN: Interventional case report. METHODS: A 32-year-old patient had a recurrent painful red left eye and facial rash. Clinical examination revealed left bacterial conjunctivitis and facial bullous impetigo. Microbiology cultures were taken from the nose, conjunctiva, and facial lesions. RESULTS: Microbiologic cultures grew Staphylococcus aureus, and hematology findings demonstrated an elevated white cell count with neutrophilia. Complete resolution was achieved with topical chloramphenicol ointment and oral dicloxacillin. CONCLUSIONS: Although uncommon, bullous impetigo may be associated with recurrent staphylococcal conjunctivitis in adults. Recurrent infections may require nasal decolonization, systemic antibiotics, and antiseptic body wash.

Published 2 January 2006 in Am J Ophthalmol, 141(1): 189-90.
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