Concluded Case

What is this skin lesions in a full term newborn with weight 3kg? HSV

Kindly opine for this new-born born with such skin lesions. Mother's history is insignificant. No history of fever or rash. Baby weight 3 kg delivered with lscs

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Baby was strictly under vigilance...and in follow up visit baby was found to b with new skin lesions...and so torch titre was sent. It came positive for HSV. So acyclovir started considering SAM variety of HSV. Baby is stable. No neurological involvement. However, when the birth canal is carefully visualized and those with asymptomatic lesions excluded, this rate of shedding is nearer to 0.5%. It is critical to recognize that most mothers of infants with neonatal HSV do not have a history of HSV.

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Its neonatal pustular melanosis. Due to poor hygiene. Its transient in nature. If the newborn is active accepting feeds with good urine output. Just give tbact ointment for local application n wait. If signs of sepsis appears then Cbc crp n c/s to r/o stop or strep colonization

@ neonatal pustular melanosis

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Baby was strictly under vigilance...and in follow up visit baby was found to b with new skin lesions...and so torch titre was sent. It came positive for HSV. So acyclovir started considering SAM variety of HSV. Baby is stable. No neurological involvement. However, when the birth canal is carefully visualized and those with asymptomatic lesions excluded, this rate of shedding is nearer to 0.5%. It is critical to recognize that most mothers of infants with neonatal HSV do not have a history of HSV.

Molluscum contagiosum and Neonatal Varicella have to be ruled out. If possible send a skin biopsy and keep mother baby dyad isolated from other dyads until diagnosis is established

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Umbilicated lession, Impetigo TORCH, Mollusca, HIV ALSO DO MOTHER INVESTIGATION KEEP OBSERVED

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Bullous impetigo Due to bacterial infection?

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Transient neonatal pustular melanosis

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