The dermatology consultation service was asked to evaluate a 3-year-old African American boy with a 1-day history of numerous vesicles on his trunk and in intertriginous folds. He had a history of sickle cell disease and had been admitted to the pediatric intensive care unit for treatment of acute chest syndrome. He was febrile and on a multidrug regimen, including erythromycin, cefotaxime sodium, vancomycin hydrochloride, fentanyl citrate, and famotidine. The rash developed rapidly during his hospital stay.
Sellheyer K, Medenica M, Stein SL. Vesicular Eruption on the Trunk and in Intertriginous Folds—Quiz Case. Arch Dermatol. 2004;140(2):231-236. doi:10.1001/archderm.140.2.231-e