rash

Last week I treated a 2 year old girl with a diaper rash. The kiddo had a rough social life---she was living with her parents when they got charged with drug trafficking. CPS got involved and she was put into a foster home. She is now currently living with grandma & grandpa (they just got custody). The attending and I took a look at the rash, and although it was difficult to get a good look (grandma had coated it with Desitin) we thought it was infected with staph/strep and wrote her a prescription for some meds and told the family to bring her back if the rash got worse or didn't go away.

The rash didn't go away. Today we were able to get a good look because grandma purposefully did not cover it with any meds. Today it did not look bacterial. Today it looked viral. This means one thing---genital herpes. Which means, most likely, this kiddo was sexually abused.

Today I hated adults.