Examination of the skin showed extensive eczematous lesions on the lower and upper limbs. Excoriations, erosions and vesicles were also noted on the affected areas. Vesicular lesions and erosions were noted around the mouth. He was afebrile.
Clinically he has eczema herpeticum.
This is disseminated herpes infection at sites of epidermal disruptions. He was treated with oral acyclovir 50mg 5x daily and oral cloxacillin 125mg qid. Wet compresses with diluted KMNO4 and topical mometasone cream was used for the weepy eczematous eruptions. The lesions gradually subsided with the treatment.