Brief Answer:
Need few more details

Detailed Answer:
Hi dear,
Welcome to Ask A Doctor service.

For getting a more clear idea, I would like to know a few more details:

1. What is her age?
2. When did this start?
3. Any itching, pain or discharge/oozing there?
4. If possible, kindly upload a good quality picture of the lesion.

Kindly get back with details, so that I can guide you better
Thank you

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Brief Answer:
Probably a superficial skin infection

Detailed Answer:
Hi dear,
Thank you for sharing the details.

So, as per your description, a 1-year girl developed a lesion on her face since the last 15th and is spreading now. Now a fresh lesion appeared on her finger that looks like an infection. The lesion is somewhat itchy but painless. I guess there is no oozing from the lesion.

These features probably suggest a superficial skin infection on face (like impetigo). During itching, that might have inoculated on to the finger, causing a breakout there also.

If the area does not appear swollen/edematous(which suggests cellulitis needing oral antibiotics), this will respond to antibiotic creams. You can apply Mupirocin 2% ointment 3 times daily for 10 days. Also, keep the area clean and dry. If the lesion on the face is close to mouth, or if she has a habit of sucking of the said finger, this is better treated with oral antibiotics to avoid swallowing of ointment. Also, if no response to topical antibiotics in 3-4 days, oral antibiotics might be needed.

Still, I prefer to see a picture of both lesions, to be sure that this is not other mimicking conditions like a Tinea/ringworm.

Hope I have answered your query
If you need further clarification I will be happy to help
Wishing her a good health

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Brief Answer:
Suggests Impetigo

Detailed Answer:
Hi dear,
I have seen the picture now.
Sorry, it was not available then; now only I could see them.

As we discussed early, this is an impetigo on face with secondary inoculation on to the finger.
Since this is so close to mouth, it is better to treat with oral antibiotics, as there is chance that baby might lick the antibiotic cream.

For such cases, I used to give antibiotic like Cephalexin or Amoxycillin-clavulanic acid for 7 days. For a 1 year child(around 10 kg weight), Cephalexin suspension(250mg/5ml) 5ml thrice daily will be enough. But, note that this is a prescription drug.

I hope this answer will help
If you need further clarification, I will be happy to help; otherwise you can close the discussion and kindly rate the answer.
Regards, Dr Aslam

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Brief Answer:
best is oral antibiotic

Detailed Answer:
Hi dear,

As we discussed earlier, considering location of the lesion closer to mouth and relatively larger size, I would prefer oral antibiotic in our case.

If we are trying topical antibiotic, Mupirocin 2% ointment will be the best option, but needs prescription.

There are over the counter ointments like Bacitracin or the Triple antibiotic cream(Bacitracin+Neomycin+Polymyxin) which you can try, but may not be as effective as Mupirocin. If getting a prescription is not an option, try applying one of these ointments 3 times daily for 5 days. If improving, continue for total 10 days. Otherwise, we can proceed further.

Let me know if I can assist you further
Take care

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