A 7 day old baby boy born at 39 weeks via spontaneous vaginal delivery is brought in by his mother for a lesion on his right hand. The child has been eating well, with normal urine output, no change in behavior, and no fever at home. Mother noticed the lesion days ago, and became concerned when it “popped” and “oozed”.
In the ED, you see a vigorous newborn with normal vital signs and a normal head-to-toe exam, except for a burst vesicular lesion on the dorsal aspect of the index finger with trace straw-colored serous fluid, as seen in the image below. He has no other lesions.
Regarding the management of this infant, which of the following is TRUE:
A) This child has bullous impetigo; given his age, he will need a full septic workup
B) This child has evidence of herpes simplex virus; he will need a full septic workup
C) This child has a benign lesion; reassurance and supportive care are indicated
D) This child has evidence of a focal burn; further investigation into non-accidental trauma is indicated
In the ED, you see a vigorous newborn with normal vital signs and a normal head-to-toe exam, except for a burst vesicular lesion on the dorsal aspect of the index finger with trace straw-colored serous fluid, as seen in the image below. He has no other lesions.
Regarding the management of this infant, which of the following is TRUE:
A) This child has bullous impetigo; given his age, he will need a full septic workup
B) This child has evidence of herpes simplex virus; he will need a full septic workup
C) This child has a benign lesion; reassurance and supportive care are indicated
D) This child has evidence of a focal burn; further investigation into non-accidental trauma is indicated
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