Staphylococcal infection mimicking child abuse: what is the differential diagnosis and appropriate evaluation?

Pediatr Emerg Care. 2011 Jun;27(6):547-9. doi: 10.1097/PEC.0b013e31821dc717.

Abstract

Twins with similar skin lesions are described. Although initially concerning for nonaccidental burn injury, further evaluation led to the diagnosis of bullous impetigo caused by Staphylococcus aureus. Thoughtful assessment is important in such cases to protect the child and prevent misdiagnosis.

Publication types

  • Case Reports
  • Twin Study

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Buttocks / microbiology*
  • Child Abuse / diagnosis*
  • Child, Preschool
  • Diagnosis, Differential
  • Diseases in Twins*
  • Female
  • Humans
  • Methicillin-Resistant Staphylococcus aureus / isolation & purification*
  • Staphylococcal Skin Infections / diagnosis*
  • Staphylococcal Skin Infections / drug therapy
  • Staphylococcal Skin Infections / microbiology

Substances

  • Anti-Bacterial Agents