Bacterial and viral skin infections Quiz: Ace Your Exams

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A 5-day-old female newborn is currently being evaluated in the neonatal intensive care unit because of a rash, fever, and poor feeding. The patient was born full term to a mother taking lamotrigine for seizure prophylaxis. Birth history was otherwise uncomplicated. On day 2 of life, the patient developed macular erythema in the skin folds that progressed to flaccid bullae with thick crusting on days 3 and 4. No mucosal membrane involvement was observed. Vitals are significant for a temperature of 38.3°C (100.9°F). A depiction of the current state of the rash is shown below:



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Which of the following is the most likely diagnosis?  

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