Case 1: Peripheral Intravenous Catheter Site Swelling/Abscesses in the Neonate

Abstract

1. Daniel Loeb, MD* 2. Jonathan J. Lee, MD† 3. Silvia Song, MD† 4. Arivarasan Karunamurthy, MD† 5. Robin P. Gehris, MD‡ 6. Sharmilarani H. Nanda, MD§ 1. *Department of Pediatrics and 2. ‡Department of Pediatric Dermatology, Department of Pediatric Teledermatology, and Department of Dermatology, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA 3. †Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, PA 4. §University of Pittsburgh Physicians, Pittsburgh, PA Pediatrics in Review came into being as I was beginning my pediatric training. The journal encouraged and educated me through a mostly US-based career as well as during a year in Europe and six years in central Africa. The educational content of Pediatrics in Review informed my care of tens of thousands of patients, and my first contribution to the journal was published in 1993. It has been a privilege to serve a ten-year term on the editorial board and to help guide the content of Index of Suspicion. This month, I turn 65. While I am not retiring, I am transitioning away from my editorial responsibilities with the journal. May each of you be as blessed as I have been by the career-enhancing education and encouragement offered by Pediatrics in Review ! Philip R. Fischer, MDAssociate Editor, Index of Suspicion An infant girl is born via cesarean delivery at 38 weeks’ gestation to a 21-year-old gravida 2, para 1 mother whose antenatal course is complicated by a recent primary vaginal herpes simplex virus (HSV) type 2 infection detected 5 days before the onset of labor. After cesarean delivery the baby briefly receives positive pressure ventilation via bag valve mask and has Apgar scores of 8 and 8 at 1 and 5 minutes, respectively. Her birthweight is 3,015 g. She requires continuous positive airway pressure for 2 days for respiratory distress. She is treated with ampicillin and gentamicin for 7 days for suspicion of clinical sepsis and with acyclovir for 10 days due to spontaneous rupture of membranes and the presence of active maternal genital …