Author: Feldman, S.R.; Vallejos, Q.M.; Whalley, L.E.; Quandt, S.A.;
Date Published: 2007
Skin rashes are among the most common problems seen by those providing health care to agricultural workers. We present a case report of a migrant farmworker patient with a painful, blistering eruption of the axilla and adjacent skin developing after an insect bite. The possibility of infection was not initially considered, and teledermatology was helpful in making the diagnosis of bullous impetigo. With the recent emergence of multi-drug-resistant organisms such as methicillin-resistant
Staphylococcus aureus in community settings, this case report should serve to reinforce the need torecognize the possibility of infection and to obtain culture specimens at the initial visit.