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A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
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[An infant with a suspicious lesion on her abdomen]

Tim Hundscheid1, Dina A Schott, Karen J M Vissers-Croughs

  • 1Atrium Medisch Centrum, Heerlen.

Nederlands Tijdschrift Voor Geneeskunde
|April 16, 2015
PubMed

Insights

A baby girl developed impetigo vulgaris, a bacterial skin infection, after contact with her father. Prompt antibiotic treatment led to a full recovery, ruling out child abuse.

Area of Science:

  • Pediatrics
  • Dermatology
  • Infectious Diseases

Background:

  • Child abuse is a serious concern, and skin lesions can be a presenting sign.
  • Bacterial skin infections are common in infants and require accurate diagnosis.

Observation:

  • A six-month-old female infant presented with a right hemi-abdominal skin lesion.
  • The lesion appeared after a visit from her father, recently released from prison, raising concerns for child abuse.

Findings:

  • Skin culture identified Staphylococcus aureus as the causative agent.
  • The clinical diagnosis was impetigo vulgaris, a superficial bacterial skin infection.

Implications:

  • This case highlights the importance of considering common infections when evaluating potential child abuse.
  • Early and accurate diagnosis of bacterial skin infections is crucial for appropriate management and preventing complications.
  • Prompt treatment with topical antibiotics resolved the impetigo vulgaris effectively.

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