Denouement—Continued From Page 661

July 2000 in “ The Pediatric Infectious Disease Journal ”

Moses Grossman

tinea faciei neonate herpes simplex virus vesicular rash potassium hydroxide examination fungal hyphae Trichophyton tonsurans dermatophyte infection clotrimazole cream KOH examination culture tinea herpes KOH test fungus clotrimazole

TLDR Tinea faciei should be considered in neonatal vesicular lesions and confirmed with KOH examination and culture.

The document discussed a case of tinea faciei, a dermatophyte infection, in a neonate, initially misdiagnosed as herpes simplex due to the acute vesicular rash presentation. The diagnosis was confirmed through potassium hydroxide examination and fungal culture, identifying Trichophyton tonsurans. Tinea faciei is rare in neonates and not typically included in differential diagnoses for neonatal herpes-like lesions. The infection was treated with 1% clotrimazole cream, leading to slow resolution. The study emphasized considering tinea in the differential diagnosis of vesicular lesions in newborns to avoid unnecessary procedures.

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