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Indian Pediatr 2013;50: 256

Heat Injury


Ruchi Rai, DK Singh and *JK Singh,

Departments of Pediatrics and *Surgery, MLN Medical College, Allahabad, Uttar Pradesh, India.
Email: [email protected]
 


Hypothermia is an important problem in neonates, especially in those with low birth weight. The most effective/safe and scientifically proven means of temperature maintenance at home is kangaroo mother care. Indigenous methods of temperature maintenance such as using hot water bags, warm cotton, heaters, blowers etc. could lead to burns and heat injury. A 5-day- old boy was brought to our hospital with vesiculo-bullous eruptions on both feet. The grandmother, after noticing that the baby was getting cold, kept the child very close to the fire for about 2 hours. The differential diagnose of such bullous lesions in a newborn are: staphylococcal scalded skin syndrome, epidermolysis bullosa, congenital erythropoeitic porphyria, herpes simplex and congenital syphilis. The treatment of such a patient includes supportive care, antibiotics and surgical drainage of pus.

Fig.1 Bullous swelling over right foot.


 

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