Question of the Week

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Question :

Posted On : 17 Sep 2023

The 23-day-old baby presented with multiple abscesses mainly in her thighs and groins, a few in her back and neck, no associated symptoms, the general condition is well, fair feeding no signs of sepsis or systemic features, and the perinatal period was completely normal. How to manage this case and how to follow it?

Expert Answer :

Answer Discussion :

K

kedridge mazabuka

0

neonatal pustular melanosis.

K

Karamo S. Sanyang

0

Do VDRL test for both baby and mother! Treat for neonatal syphilis with penicillin!

M

Maie Sallah

0

Proceed into immunodeficiency disease

S

Santosh R

2

Neonatal pustular melanosis. Systemically well child. No other concerns in history. Reassurance is enough

1 year ago

G

Gladys Yonah

0

antibiotics, if they're large, do incision and drainage

1 year ago

Answer 1

Skin and soft tissue infections are usually due to Staph or Stept infections. In neonatal age occasionally it can be due to pseudomonas or Klebsiella. One should send a smear and culture from the abscesses. Treat with Cefotaxim and Amikacin IV. If there are Gram plusve organisms add Cloxacillin. If culture grows organisms change the antibiotics accordingly. In follow up if there is no good response try to rule out immune deficiency.

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