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 described a case of tinea faciei in a neonate, initially suspected to be herpes simplex virus infection due to the acute onset of a vesicular rash. A potassium hydroxide examination revealed fungal hyphae, and Trichophyton tonsurans was isolated, confirming the diagnosis. Tinea faciei, a dermatophyte infection, is rare in neonates and often misdiagnosed. The patient responded to 1% clotrimazole cream with slow resolution. The document emphasized the importance of considering tinea in the differential diagnosis of neonatal vesicular lesions and recommended KOH examination and culture for accurate diagnosis.

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