Case 4: Diffuse rash in a 2-month-old girl

摘要

A former 32-week-gestation, now 8-week-old girl presents to her primary care clinic with a diffuse rash. The rash started at 4 weeks of age as a single lesion on her right thigh. The rash subsequently spread throughout her lower extremities. The mother brought the patient to the clinic at 6 weeks of age for the rash, which had crusted over. The patient was diagnosed as having bullous impetigo and was prescribed oral cephalexin and topical mupirocin. A wound culture from that visit grew normal skin flora. Her rash continued to worsen. The patient presents today for her 2-month well-child check with persistent rash.