Pathology · single question
A patient presents with impetigo (a highly contagious bacterial skin infection with honey-colored crusted lesions) around their mouth. What is the most appropriate dental management?
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Correct answer: A. Reschedule the appointment until the lesions have cleared with antibiotic treatment
Impetigo is a highly contagious superficial bacterial skin infection caused by Staphylococcus aureus or Group A Streptococcus. The characteristic honey-colored (golden) crusted lesions spread easily through direct contact and contaminated surfaces. Active impetigo around the mouth is a contraindication to elective dental treatment because: (1) the infection is easily spread to dental personnel and other patients, and (2) dental procedures in the area would be difficult without disturbing infected tissue. The patient should be referred to their physician for antibiotic treatment (topical mupirocin for mild cases; oral antibiotics for extensive cases). Treatment should be rescheduled after complete resolution, typically 1–2 weeks.