Question of the Week

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?
5
Expert Answer :
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.
Answer Discussion :
K
kedridge mazabuka
Profile
neonatal pustular melanosis.
9 months ago
K
Karamo S. Sanyang
Profile
Do VDRL test for both baby and mother! Treat for neonatal syphilis with penicillin!
9 months ago
M
Maie Sallah
Profile
Proceed into immunodeficiency disease
9 months ago
S
Santosh R
Profile
Neonatal pustular melanosis. Systemically well child. No other concerns in history. Reassurance is enough
9 months ago
G
Gladys Yonah
Profile
antibiotics, if they're large, do incision and drainage
9 months ago




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