[Diagnostic images (169). A toddler not feeling well and having a rash. Eczema herpeticum]

P A Peters1, P A van Setten, F Brus

  • 1Ziekenhuis Rijnstate, afd. Kindergeneeskunde, Postbus 9555, 6800 TA Arnhem.

Insights

Eczema herpeticum is a serious skin infection in infants. Early diagnosis and treatment are crucial for managing this condition in young children.

Area of Science:

  • Pediatrics
  • Dermatology
  • Infectious Diseases

Background:

  • Eczema, a common inflammatory skin condition, affects many infants.
  • Infants with eczema have a compromised skin barrier, increasing infection risk.
  • Herpetic infections can rapidly disseminate in infants with underlying skin conditions.

Observation:

  • A 1-year-old boy with a history of eczema presented with acute onset fever.
  • The patient developed a widespread vesicular rash.
  • Clinical presentation was suggestive of a severe cutaneous infection.

Findings:

  • The patient was diagnosed with eczema herpeticum, a viral infection.
  • Eczema herpeticum is a dermatological emergency.
  • Herpes simplex virus (HSV) is the common causative agent.

Implications:

  • Prompt recognition of eczema herpeticum is vital for preventing complications.
  • Antiviral therapy is the cornerstone of treatment.
  • Management requires a multidisciplinary approach involving pediatricians and dermatologists.

Related Concept Videos

Smallpox01:24

Smallpox

Smallpox is a severe contagious disease caused by the Variola major virus, a double-stranded DNA member of the Poxviridae family.Variola major transmission occurs primarily via inhalation of virus-laden droplets or direct contact with infectious scabs. The incubation period averages approximately seven days, although it may range from 7 to 17 days depending on the inoculum and host factors.Clinically, the prodromal phase is marked by an abrupt onset of high fever, malaise, headache, and myalgia.
Chickenpox01:20

Chickenpox

Chickenpox is an acute, highly contagious disease caused by the varicella-zoster virus (VZV), a double-stranded DNA virus belonging to the Herpesviridae family. Its transmission occurs primarily through the inhalation of respiratory droplets or direct contact with vesicular fluid from skin lesions. The incubation period typically ranges from 10 to 21 days, during which the virus replicates and disseminates through sequential phases within the host. Although generally self-limiting in children,...
Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Herpes01:28

Herpes

Herpes simplex type 1 (HSV‑1) is a widespread pathogen responsible for orolabial lesions. It is an enveloped, double-stranded DNA (dsDNA) virus belonging to the family Herpesviridae. Once the virus infects a host cell, its double‑stranded DNA genome is delivered into the nucleus, where a coordinated cascade of immediate‑early, early, and late gene expression directs viral DNA replication, structural protein synthesis, and virion assembly. After primary infection of epithelial cells, HSV-1...
Rocky Mountain Spotted Fever01:26

Rocky Mountain Spotted Fever

Rocky Mountain Spotted Fever (RMSF) is a severe tick-borne illness caused by Rickettsia rickettsii, a Gram-negative, coccobacillary bacterium. This pathogen is an obligate intracellular parasite, requiring a host cell for replication. Transmission occurs through the bite of an infected tick. In the United States, the most important vectors are Dermacentor variabilis (American dog tick) and Dermacentor andersoni (Rocky Mountain wood tick), though other tick species may also serve as vectors.