Dear all,

I have one fullterm baby born with generalised papuler rash, morphologically looked like ET. All the IUI work up were negative except GBS positivity from surface swab,gastric aspirate and eye swab.

Can GBS cuase papular rash at birth?

Yes it can.

Rule out congenital candida infection.

Dr. Rajeev Malhotra

Neonatologist

The papular skin rash in this clinical scenario is most likely due to GBS sepsis .You are getting GBS from all swabs, so the link is strong. I didn't understand the IUI , but I will definitely do a full sepsis work up and start antibiotics.If the blood culture and CSF were negative, I will continue treatment for 7days.

Omer Hamud

Toronto

Also consider congenital miliria rubra if the baby has fever and the baby has no other symtamatology of sepsis