Case 19-2003: A Five-Day-Old Girl with Leukocytosis and a Worsening Rash from Birth

Presentation of Case A five-day-old girl was admitted to the hospital because of a worsening rash from birth and leukocytosis with blasts. The infant was delivered at 40 weeks' gestation by a 24-year-old woman (gravida 2, para 2), who had immigrated from Central America to the United States two months earlier. The pregnancy had been complicated by a urinary tract infection and by a vaginal discharge, which had been treated with topical medication. The mother had no history of oral or genital herpes, sexually transmitted diseases, or varicella during the pregnancy. Ultrasonographic examinations of the fetus, reportedly performed at four . . .