RT Book, Section
A1 Torres-Zegarra, Carla
A1 Sabella, Camille
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114875961
T1 Eczema Herpeticum
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114875961
RD 2024/04/24
AB A  16-year-old-boy  with  a  past  medical  history  significant  for  atopic  dermatitis  presented  to  the  Emergency  Department  with  a  1-day  history  of  sudden  onset  of  tender  blistering  lesions  on  the  face  and  neck  associated  with  a  burning  sensation.  Associated  symptoms  included  lethargy,  headache,  and  four  episodes  of  vomiting  since  onset  of  symptoms.  On  exam,  the  boy  was  noted  to  be  ill-appearing,  moderately  dehydrated,  and  febrile  to  39°C.  He  was  tachycardic  but  normotensive,  warm,  and  well  perfused.  The  skin  exam  revealed  pustules,  vesicles  and  crusts  over  his  face,  neck,  elbows,  both  hands  and  both  knees  (Figure  132-1).  He  was  admitted  and  treated  with  intravenous  (IV)  fluids,  IV  antibiotics,  and  IV  acyclovir.  Viral  culture  taken  from  an  unroofed  vesicular  lesion  revealed  herpes  simplex  virus  type  1.  Bacterial  cultures  taken  from  the  impetiginized  lesions  grew  Staphylococcus  aureus.