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An Atypical Presentation of Molluscum Contagiosum in a Newborn

Neha Arora1, Ashley Wittmer1, Maleka Najmi2

  • 1Medicine, Texas A&M School of Medicine, Bryan, USA.

Cureus
|August 6, 2024
PubMed

Insights

Molluscum contagiosum (MC) is a common childhood skin infection. This report details the first known case of MC in a neonate delivered via Cesarean birth, with no evidence of maternal transmission.

Area of Science:

  • Dermatology
  • Pediatrics
  • Virology

Background:

  • Molluscum contagiosum (MC) is a viral skin infection prevalent in children.
  • Vertical transmission from mother to infant is the suspected cause of MC in infants under one year.
  • MC diagnosis in neonates is rare, especially without clear maternal transmission history.

Observation:

  • A 10-month-old infant presented with MC lesions on the scalp shortly after birth.
  • The infant was delivered via Cesarean section.
  • No evidence of maternal MC infection or vertical transmission was identified.

Findings:

  • This case represents the first documented instance of MC in a neonate born via Cesarean delivery.
  • The absence of maternal transmission suggests alternative pathways for neonatal MC acquisition.
  • Scalp involvement in neonatal MC is noted.

Implications:

  • This case challenges the presumed transmission routes of MC in neonates.
  • Further research is needed to understand non-vertical transmission of MC in infants.
  • Clinical awareness of MC in neonates, irrespective of delivery method, is important.
Keywords:
molluscum contagiosummolluscum contagiosum neonatalpediatric dermatologypox virusviral infection

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