Case 193

Case 193

Enunciado

Female patient, 3 years old, accompanied by her mother. She was referred to the pediatric hospital with a case of pruriginous, papulovesicular lesions ongoing for 65 hours. The lesions first appeared in the face and trunk and later on thighs, arms and forearms, associated with non-measured fever and prostration. A year ago she was diagnosed with acute lymphoblastic leukemia (ALL) and, at the time, was on maintenance chemotherapy. On examination: patient was irritated, tearful, axillary temperature of 37,0ºC. Papulovesicular lesions in all segments cited as well as those shown in the following pictures.

Photograph of the child´s body on the left side.

 

Photograph showing left upper limb, left half of the face and torso.


Question:
According to the history and physical examination of the patient, which is the most appropriate conduct?

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