TY - CHAP M1 - Book, Section TI - Eczema Herpeticum 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 PY - 2015 T2 - The Color Atlas of Pediatrics 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114875961 ER -