Erythematous plaques and papules on a premature infant.

Riemenschneider K, Redenius R, Reese J, Fine JD, Weitkamp JH, Tkaczyk E
J Am Acad Dermatol. 2017 76 (4): e111-e112

PMID: 29081565 · PMCID: PMC5563474 · DOI:10.1016/j.jaad.2016.08.038

A 2240 gram boy was born at 33.2 weeks gestation with nonblanching, deeply erythematous plaques and papules on the back, flanks, and scalp (Figure 1). His mother was GBS positive and on antibiotic suppression for prior cutaneous MRSA and urinary tract infections. Intrapartum intravenous Penicillin G was administered, and the amniotic sac was artificially ruptured 4 hours prior to delivery to facilitate labor. The delivery was uncomplicated without concern for chorioamnionitis, but the patient initially required CPAP for respiratory distress with 1-minute and 5-minute Apgar scores of 7 and 8, respectively. A skin punch biopsy is shown (Figure 2).

MeSH Terms (17)

Anti-Bacterial Agents Apgar Score Biopsy, Needle Female Follow-Up Studies Gestational Age Humans Immunohistochemistry Impetigo Infant, Newborn Infant, Premature Male Pregnancy Pregnancy Complications, Infectious Respiratory Distress Syndrome, Newborn Streptococcal Infections Treatment Outcome

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