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    Baby With Chicken Pox

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    Razeen Riyasat
    1) The neonatal condition could be a case of neonatal varicella or postnatal varicella secondary to Staphylococcus infection. Neonatal varicella presents with a rash in the first or second week of life if the mother had varicella around delivery. 2) Varicella presents with a prodrome of fever and rash within 15 days of exposure, starting as macules and progressing to vesicles and crusts that fall off within 1-2 weeks. 3) Mastitis in infants under 2 months presents as unilateral erythema, tenderness, and induration of the breast with possible enlarged tender lymph nodes and systemic symptoms.

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    Baby With Chicken Pox

    Uploaded by

    Razeen Riyasat
    11 views6 pages
    1) The neonatal condition could be a case of neonatal varicella or postnatal varicella secondary to Staphylococcus infection. Neonatal varicella presents with a rash in the first or second week of life if the mother had varicella around delivery. 2) Varicella presents with a prodrome of fever and rash within 15 days of exposure, starting as macules and progressing to vesicles and crusts that fall off within 1-2 weeks. 3) Mastitis in infants under 2 months presents as unilateral erythema, tenderness, and induration of the breast with possible enlarged tender lymph nodes and systemic symptoms.

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    Baby With Chicken Pox

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    1) The neonatal condition could be a case of neonatal varicella or postnatal varicella secondary to Staphylococcus infection. Neonatal varicella presents with a rash in the first or second week of life if the mother had varicella around delivery. 2) Varicella presents with a prodrome of fever and rash within 15 days of exposure, starting as macules and progressing to vesicles and crusts that fall off within 1-2 weeks. 3) Mastitis in infants under 2 months presents as unilateral erythema, tenderness, and induration of the breast with possible enlarged tender lymph nodes and systemic symptoms.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    11 views6 pages

    Baby With Chicken Pox

    Uploaded by

    Razeen Riyasat
    1) The neonatal condition could be a case of neonatal varicella or postnatal varicella secondary to Staphylococcus infection. Neonatal varicella presents with a rash in the first or second week of life if the mother had varicella around delivery. 2) Varicella presents with a prodrome of fever and rash within 15 days of exposure, starting as macules and progressing to vesicles and crusts that fall off within 1-2 weeks. 3) Mastitis in infants under 2 months presents as unilateral erythema, tenderness, and induration of the breast with possible enlarged tender lymph nodes and systemic symptoms.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 6

    Identify the Neonatal Condition

    1) Possible case of neonatal


    varicella
    2) Possible case of postnatal
    varicella secondary to
    Staphylococcus Infection
    3) Rule out mastitis
    What is Neonatal Varicella?
    Features specific for Neonatal Varicella:
    - Rash appears towards end of 1st week or early second week of life
    - History reveals that mother had contracted the infection around time of delivery
    i.e., 5 days prior to delivery of 2 days afterwards.
    - Neonates may be infected
    (1) in utero by transplacental viremia,
    (2) at birth by ascending infection
    (3) after birth by respiratory droplets or direct contact with infectious lesions.

    Note: Neonate getting varicella after 10-12 days of life is most likely due to a post-natal
    infection and not maternal.
    Varicella (Chicken Pox) Clinical Signs and
    symptoms:
    - The signs and symptoms generally develop within fifteen days after the exposure and
    typically include a prodrome of fever, malaise, or pharyngitis, loss of appetite,
    followed by the development of a generalized vesicular rash, usually within 24 hours.
    - The vesicular rash of varicella, is usually pruritic (itchy).
    - The lesions begin as macules that rapidly become papules followed by vesicles; these
    lesions become pustular followed by the formation of crusted papules i.e. the
    crusted lesions seen on the baby.
    - Patient with varicella usually has lesions which appear in different stages as shown in
    our patient
    - Crusts tend to fall off within about one to two weeks and leave a temporary area of
    hypopigmentation in the skin
    Stages of the lesions in varicella
    Mastitis Signs and symtoms
    • During the first year of life, mastitis typically occurs in full-term infants
    who are younger than two months
    • Mastitis in infants usually is unilateral and remains localized
    • Characteristic clinical features include marked erythema, tenderness,
    and induration of the affected breast
    • The axillary lymph nodes may be enlarged and tender
    • Systemic symptoms also may occur and may indicate more severe
    infection.

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