A 10-year-old boy is brought to the clinic by his mother due to multiple skin sores on his legs and around his mouth that started one week ago. Initially, they appeared as small red spots, but over time, they developed into honey-colored crusts. Over the last two days, some of the sores have become deeper, with thick scabs and painful ulcers.

The child has no significant past medical history but frequently plays soccer on dirt fields and often gets minor scrapes. His mother mentions that several children at his school have had similar skin lesions recently. He has no fever or systemic symptoms.

On examination, there are multiple honey-colored crusted lesions around his mouth and several deep, ulcerative lesions with thick grayish-yellow scabs on his lower legs, surrounded by mild erythema. There is no pus drainage or fluctuance, but some of the deeper ulcers appear tender.

A clinical diagnosis of impetigo with progression to ecthyma is made. The child is prescribed topical antibiotics (mupirocin) for mild lesions and oral antibiotics (cephalexin) for ecthyma. The mother is advised on proper hygiene, wound care, and avoiding scratching to prevent further spread. Given the recent cases at school, public health measures, including handwashing and disinfection of shared items, are recommended.