Varicella: pediatric genital/rectal vesicular lesions of unclear origin.
case_series · Level IV
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- Record sourced from PubMed, PMID 7802360.
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Abstract
Three children who presented with localized vesicular rash in the diaper area were found to have primary varicella-zoster infections. Primary varicella can closely mimic genital herpes simplex virus (HSV 1 or 2), which may be an indicator of sexual abuse. To avoid unfounded investigation for sexual abuse, primary varicella-zoster infection must be included in the differential diagnosis. Direct fluorescent antibody testing is a sensitive and specific diagnostic test that can be used to distinguish HSV 1 or 2 from varicella-zoster.
Medical subject headings
- Chickenpox
- Child Abuse, Sexual
- Herpes Genitalis
- Herpesvirus 3, Human
- Skin Diseases, Viral