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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Got Insect Bite. Used Bactroban Cream. Skin Is Peeling. Should I Continue Bactroban?

I got some sort of insect bite about 2 weeks ago, and it was initially red, swollen, and sore, about a nickel size in diameter. I initially put Bactroban cream on it for 10 days and the swelling went down and so did the pain. Now the bite area is about dime diameter and the skin keeps peeling. Should I continue with the Bactroban or use other cream? Could it be fungal instead of bacterial?
Thu, 23 May 2013
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Dermatologist 's  Response
Hi
Thanks for your query

Looks like you have developed a lesion of Vector dermatitis..also known as Paederus dermatitis..
Paederus dermatitis is a peculiar, irritant contact dermatitis characterized by a sudden onset of red lesions on exposed areas of the body. The disease is provoked by an insect belonging to the genus Paederus.
Now in your case the lesion is persisting since 10days. You are already applying an antibiotic cream since 10 days.
Now you need to apply an antibiotic/steroid combination cream over the lesion twice a day.
Take oral antihistamine like levocetrizine once a day to decrease the swelling .
At present, you dont seem to have any signs of infection in the form of raised local temperature or extreme redness or pain or pus discharge from the lesion, so you can safely continue with the above therapy, but if you tend to develop any of the above signs, then you might need a course of oral antibiotics or steroids as assessed by a specialist.

Hope it helps
Dr Geetika Paul


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Have Got Insect Bite. Used Bactroban Cream. Skin Is Peeling. Should I Continue Bactroban?

Hi Thanks for your query Looks like you have developed a lesion of Vector dermatitis..also known as Paederus dermatitis.. Paederus dermatitis is a peculiar, irritant contact dermatitis characterized by a sudden onset of red lesions on exposed areas of the body. The disease is provoked by an insect belonging to the genus Paederus. Now in your case the lesion is persisting since 10days. You are already applying an antibiotic cream since 10 days. Now you need to apply an antibiotic/steroid combination cream over the lesion twice a day. Take oral antihistamine like levocetrizine once a day to decrease the swelling . At present, you dont seem to have any signs of infection in the form of raised local temperature or extreme redness or pain or pus discharge from the lesion, so you can safely continue with the above therapy, but if you tend to develop any of the above signs, then you might need a course of oral antibiotics or steroids as assessed by a specialist. Hope it helps Dr Geetika Paul