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Published 13 May 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.10.2008.1149]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unusual association of diseases/symptoms

Herpetic neonatal pustular rash

Manjula Meda1,2, Charles Godden3, Dianne Irish4

1 St. George’s Hospital, Microbiology, Blackshaw Road, Tooting, London, SW17 0QT, UK
2 1 Hanover Court, Mount Hermon Road, Woking, UK
3 Royal Surrey County Hospital, Paediatrics, Egerton Road, Guildford, GU227XX, UK
4 Frimley Park Hospital, Microbiology, Portsmouth Road, Friley, GU167UJ, UK

Correspondence to:
Manjula Meda, manjulasudheer{at}yahoo.com

SUMMARY

Pustular rash in a neonate is very common and is usually associated with staphylococcal infection. The present report describes the case of a 12-day-old neonate with a pustular rash, secondary to herpes simplex infection. A high index of suspicion is necessary in neonates presenting with suggestive signs, especially with negative bacterial cultures. Prompt initiation of aciclovir treatment after obtaining diagnostic samples may be life-saving.


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