నైరూప్య

Management of blistering Indonesian neonates with infection and seizure in rural area: A case report- Shak Hui Lee- Tarumanagara Unviersity.

Shak Hui Lee, Cayadi Sidarta Antonius and Linda Julianti Wijayadi

 Blisters in neonates is rare and the differential diagnosis is extremely broad, ranging from infectious disease to genetically inherited disorder. Determining the underlying cause of the blister is a challenge, especially in rural area. We reported a case of newborn with blisters, accompanied by infection (both local and systemic) and a history of seizures. A 6 days old neonate was referred to the emergency department and was presented with multiple vesicles, pustules, and bulla on his trunk and extremities. Upon hospitalization, he developed a systemic infection followed with an episode of seizures. Due to limited resources available in our hospital, we use a lactic acid solution to bath him, wound treatment, moisturizer, and antibiotic treatment. Since our hospital is located in the rural area, establishing a confirmed diagnosis and treating the blisters according to the guidelines are proven to be difficult. A referral is needed to do a further assessment of the condition.