Abstract
A 2-month-old girl presented with a necrotizing lesion over the tip of the nose that started as redness. The lesion subsequently increased in size to form a vesicle and ruptured to form a chronic, progressive, nonhealing ulcer without pus discharge (Figure 1, A). The girl was born at term, birth weight 2.5 kg. There was a history of delayed separation of the umbilical cord at day 22 of life. She developed an episode of omphalitis and another episode of sepsis with pneumonia on days 6 and 20 of life, respectively.
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