Interesting Case #5

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)