and 13% to 40% without therapy Patients who are treated with doxycycline by the fifth day of illness have the best survival FIGURE 66.8 Intertrigo PLEASE note, this is VERY likely a strep infection and not simple intertrigo (Reprinted with permission from Burkhart C, Morrell D, Goldsmith LA, et al VisualDx: Essential Pediatric Dermatology Philadelphia, PA: Lippincott Williams & Wilkins; 2009.)