Which is the most likely cause for a bright red perianal inflammation with scaly plaques and small papules noted by the nurse during the assessment of a 12-month-old infant?
1. Candida albicans (yeast)
2. Impetigo (staphylococcus)
3. Infrequent diapering
4. Urine and feces
1
Explanation:
1. Candida albicans is frequently the underlying cause of severe diaper rash. When a primary or secondary infection with C. albicans occurs, the rash has bright red, scaly plaques with sharp margins. Small papules and pustules might be seen, along with satellite lesions.
2. Even though diaper dermatitis can be caused by impetigo, urine, feces, and infrequent diapering, the lesions and persistent characteristics are common for Candida infection.
3. Infrequent diapering, along with urine and feces, can cause diaper dermatitis, but the persistence and characteristics of the lesions are common for Candida infection.
4. Urine and feces can cause diaper dermatitis, but the persistence and characteristics of the lesions are common for Candida infection.
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