A Baby Boy With Vesicular Rash
A 24 days old baby boy presented to the outpatient department with a two days history of fever and worsening vesicular and pustular rash involving the face, trunk, hands and legs (Picture 1)
(Picture 1)
A child in the neighborhood had the similar complaints in the preceding weeks. Laboratory results were normal full blood count with normal C-Reactive protein. The baby was active, alert and sucking well. The family had no inherited condition. The antenatal, natal and postnatal histories are uneventful. After 2 days of hospitalization, some rashes changed in appearance. (Picture 2)
(Picture 2)
Questions
(1) What is the probable diagnosis?
(A) Meningococcaemia
(B) Bullous impetigo
(C) Neonatal Chickenpox
(D) Staptylococcal scalded skin syndrome
(E) Cryoglobulinemia
(2) What are the 2 characteristics of these lesions?
(A) The Lesions are in various stages of development and healing
(B) The vesicles with central umbilication
(C) The lesions have the characteristic distribution on the buttocks and legs.
(D) Flaccid bullae with clear yellow fluid
(E) Coalescing or clustering vesicular lesions with an erythematous base
(3) What complications can occur in this condition?
(A) Preumonia
(B) Meningo encephalitis
(C) Renal Failure
(D) Hepatitis
(E) A, B and D
(4) How can we manage this condition (Choose more than one)
(A) Antiviral Therapy
(B) Antibiotics
(C) Breast Feeding
(D) Antihistamine
(E) Aspirin
