Meda Manjula, Godden Charles, Irish Dianne
St. George's Hospital, Microbiology, Blackshaw Road, Tooting, London, SW17 0QT, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.10.2008.1149. Epub 2009 May 13.
Pustular rash in a neonate is very common and is usually associated with staphylococcal infection. The present report describes the case of a 12-day-old neonate with a pustular rash, secondary to herpes simplex infection. A high index of suspicion is necessary in neonates presenting with suggestive signs, especially with negative bacterial cultures. Prompt initiation of aciclovir treatment after obtaining diagnostic samples may be life-saving.
新生儿脓疱疹非常常见,通常与葡萄球菌感染有关。本报告描述了一例12日龄新生儿继发单纯疱疹感染出现脓疱疹的病例。对于出现提示性体征的新生儿,尤其是细菌培养阴性的情况,必须保持高度怀疑。在获取诊断样本后迅速开始使用阿昔洛韦治疗可能会挽救生命。