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Interesting Case #5

Date April 11, 2007

OK - back to pediatrics. This one is quick.

8-day old male presents to the office with rash in diaper area. Mother noted it 4 days prior to the visit and had since gotten progressively worse.

He was born full-term via c-section after an uncomplicated pregnancy. No significant problems prior to developing the rash.

On exam, the child appeared normal. He was circumcised and that was healing appropriately. He had areas of redness on inner L thigh, on the shaft of the penis, and on the buttock. Each area had some accompanying blistering lesions with cloudy fluid.

A culture was obtained from one of the bullous lesions.

What is the diagnosis?

  1. Herpes Simplex
  2. Typical Bullous Impetigo
  3. Candida
  4. Methicillin-resistant Staph Aureus (MRSA)
  5. Thimerosal anticipatory stress syndrome (TASS)
  6. Physician Bullous Hallucination Syndrome (PBHS)
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Welcome to my blog. I am a practicing primary care physician in the Southeastern US, caring for patients of all ages (Board Certified in both Internal Medicine and Pediatrics). This blog covers a wide variety of issues, including the following: What it is like to be a physician, dogs driving cars, what troubles are in our system, toddlers with flame-throwers, what would it take to fix that system, llamas, death and dying issues, mutants, and accordions. Maybe I need to write about mutant dying accordions with flame-throwers. Hmmm....I feel a post coming. Anyhow, I like variety. Life is always lived with both laughter and tears. If you are a regular reader of this blog, it is also filled with nausea and nightmares. Thanks for stopping by. -Dr. Rob