title: Staphylococcal infection mimicking child abuse: what is the differential diagnosis and appropriate evaluation?
abstract: Twins with similar skin lesions are described. Although initially concerning for nonaccidental burn injury, further evaluation led to the diagnosis of bullous impetigo caused by Staphylococcus aureus. Thoughtful assessment is important in such cases to protect the child and prevent misdiagnosis.
authors.affiliation: University of Wisconsin Child Protection Program, Madison, WI 53792-4108, USA. blknox@pediatrics.wisc.edu
authors.forename: Barbara L
authors.initials: BL
authors.lastname: Knox
authors.forename: Hillary W
authors.initials: HW
authors.lastname: Petska
authors.forename: Gregory P
authors.initials: GP
authors.lastname: DeMuri
authors.forename: Kenneth W
authors.initials: KW
authors.lastname: Feldman
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002081:Buttocks / Q000382:microbiology*; D002649:Child Abuse / Q000175:diagnosis*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004200:Diseases in Twins; D005260:Female; D006801:Humans; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D013207:Staphylococcal Skin Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents