Internationally adopted HIV-infected toddler with skin rash

Abstract

A 2-year-old girl who was perinatally infected by the human immunodeficiency virus presented to the International Adoption Clinic for a routine visit. She was recently adopted from Ethiopia by a family in the United States. At the visit, her parents reported a new complaint of a skin lesion on the right lateral shoulder, with irritation and drainage. They described a gradual increase in redness and swelling of the area, which felt firm and fluctuant. There was no fever, change in behavior, vomiting, or other rash. The child was eating, sleeping, and voiding normally. The toddler had arrived to the United States 1 month earlier. She had already been evaluated at the Clinic and treated for bilateral acute otitis media with a 10-day course of amoxicillin.