Perioral infections in childhood. Presentation of two clinical case of impetigo.

Abstract

Abstract: There are several differential clinical diagnoses of infectious perioral lesions in childhood, the most frequent being: herpes labialis, angular cheilitis (cheilocandidiasis) and impetigo, the latter being a bacterial infection prevalent in children, with rupture of the labial and perioral region, whose diagnosis is mainly based on clinical findings and careful analysis of the anamnesis. Objective: To present two clinical cases of bullous impetigo in pediatric patients, highlighting their characteristics, comparing, and contrasting them with their main differential diagnoses. Case report. We present two cases of 10-year-old male patients (twin brothers) with a history of Pierre Robin sequence, who attended the Pediatric Dentistry clinic of the ENES, UNAM, León unit, presenting multiple ulcerative lesions, located in the perioral area, referring two weeks of evolution. Diagnosis. The clinical diagnosis of: bullous impetigo is established for both patients. Treatment plan. Strict general hygiene measures were indicated and in the affected areas, also eliminating any object that acted as a fomite, preventing the sharing of personal hygiene products, in addition, the application of mupirocin cream at 2% was shown, carrying out the monitoring of the 14 and 30 days until complete healing. Conclusions. Perioral impetigo is frequently confused with other infections present in that location with similar clinical manifestations. In some cases, it is usually treated incorrectly. Therefore, the importance of carrying out an adequate interrogation, a thorough clinical examination and performing a clinical differential analysis in this type of injury is highlighted.