Delivered a baby last night with Vesicular lesions all over body.

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The link below has a picture I found on the web of exactly what it looked like. The mother denies ever having herpes. A full work-up was done on the baby and baby is in contact isolation. According to Medscape, lesions usually present later after birth, this baby last night delivered with these lesions. Could it be anything else besides herpes?

art-ninr472408.fig1.jpg

Specializes in NICU, PICU, PCVICU and peds oncology.
He ended up being diagnosed with Langerhans-Cell Histiocytosis, an immune mediated "cancer-like" condition, which can be fatal, and form bone lesions, but luckily he had the congenital form in which his lesions resolved on their own. If they don't, the only option is chemo. Very sad, but he was lucky.....

When I first saw the lesions LCH was the first thing I thought of. In most cases the younger the patient at diagnosis the worse the course is and the higher the mortality rate is. My son developed his first symptoms at 14 months but wasn't diagnosed until a year later. The long and the short of it: he nearly died several times before the beast was subdued. I'm glad SteveRN21's patient was lucky and didn't need treatment. And I really hope that jenrninmi's kiddy doesn't have it!

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Specializes in nursery, L and D.

Hey Jen, do you know yet what this was?

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Specializes in ICU, SDU, OR, RR, Ortho, Hospice RN.

i have never seen anything like this. i pray the bubs will not have such a horrid illness and that it may be the chicken pox.

i did enjoy reading the link that middlekane put up and will have a read of the condition that steve suggested.

blows my mind what can happen to the human body!

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Specializes in L&D.
Hey Jen, do you know yet what this was?

Not yet. I'll be going to work tonight though. Maybe they'll know then. Thanks everyone for your posts.

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For what it is worth the last babe I saw like this had chicken pox so fingers crossed.

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Specializes in L&D.

Well, ended up by the time I went back to work a few days later, baby went home with parents. I have no idea what was actually wrong. Thanks everyone.

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Specializes in Im interested in ob,L&D, crna, and np.
Dear God, is the poor babe in pain? I did not know that herpes could infect fetuses. I guess I thought they picked it up during lady partsl delivery.

I thought the same thing:confused:

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Specializes in NICU, PICU, educator.

It could also be a case of ichthyosis, there are several different types and there is one that has blisters that break and peel. It could also be one of many types of viral things, including herpes, I've seen a few kids with herpes lesions like that.

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