The nurse is examining a 12-month-old who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with bright red, scaly plaques and small papules. Satellite lesions are also present
This is most likely caused by which of the following? 1. Impetigo (staph)
2. Candida albicans (yeast)
3. Urine and feces
4. Infrequent diapering
2
Rationale:
1. Even though diaper dermatitis can be caused by impetigo, urine, feces, and infrequent diapering, the lesions and persistent characteristics are common for Candida.
2. Candida albicans is frequently the underlying cause of severe diaper rash. When a primary or secondary infection with Candida albicans occurs, the rash has bright red, scaly plaques with sharp margins. Small papules and pustules might be seen, along with satellite lesions.
3. Urine and feces can cause diaper dermatitis, but the persistence and characteristics of the lesions are common for Candida.
4. Infrequent diapering, along with urine and feces, can cause diaper dermatitis, but the persistence and characteristics of the lesions are common for Candida.
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