Pediatric Emergency Medicine, Infant with Localized Rash - Clinical Patient Case of the WeekTry this free pediatric emergency medicine patient case Q&A courtesy of Med-Challenger.
This week's clinical patient case Q&A involves an infant with localized rash. The patient case comes from Med-Challenger's library of board exam review and CME question banks. For more free clinical knowledge review questions, subscribe to the Med-Challenger Medical Education Blog.
Try this case and test your knowledge of pediatric emergency medicine.
A previously healthy, full-term 9-week-old infant, born by repeat C-section to a healthy, varicella immune mother, presents to the ED with a rash localized to his right axilla.
He has been afebrile and feeding well, with no change in his sleeping pattern or overall demeanor.
His T is 37.1ºC, HR 140, RR 40, and BP 94/48.
His PE is normal, except for the lesions shown below (Figure 1):
A Tzanck prep is performed and is negative, and a Gram stain of fluid from one of the lesions reveals Gram-positive cocci in clusters.
A bacterial culture is sent and is pending.
What is the most appropriate management for this patient?
See the Answer:
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