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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Diaper Rash And Diarrhea Inspite Of Using Silvadene And Mupirocin?

I took my 2 y/o daughter to the dermatologist today for an ongoing diaper rash that would not heal with silvadene ointment. She is going on 6 weeks with this rash which popped up a few days after an episode of diarrhea (related to teething and starting Zyrtec under doctor s orders). Her past history includes another horrible episode of diaper rash that extended from April of last year until August. We went through silvadene, nystatin, ketoconizole, mupirocin, and hydrocortisone. She finally was cultured for staph and that s when the mupirocin was given as well as an oral antibiotic. Keeping that history in mind: my husband and I both have genital herpes (neither one of us have ever had cold sores). She was born via c-section at 32 weeks due to severe pre-eclampsia. I include that history because today the dermatologist took one look and said it looked viral and she wanted to say it was herpes. We won t find out until Monday what the results say. I m devastated at the thought that this has contracted this from us so that brought me here. So I ask, how could she have contracted this from us? And for this to have lasted 6 weeks... I just don t understand how this could possibly have happened.
Sun, 25 Oct 2020
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General Surgeon 's  Response
Hello,

The diaper rash and diarrhea are in concern with viral infection most likely as rota virus or others. Following guidelines will help better recovery:
- Complete avoidance of diaper till recovery is the single most important step to consider
- Zinc and lacto bacillus
- Hydration with oral rehydration salt
- Hygiene care

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Diaper Rash And Diarrhea Inspite Of Using Silvadene And Mupirocin?

Hello, The diaper rash and diarrhea are in concern with viral infection most likely as rota virus or others. Following guidelines will help better recovery: - Complete avoidance of diaper till recovery is the single most important step to consider - Zinc and lacto bacillus - Hydration with oral rehydration salt - Hygiene care Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon