Infective dermatitis (ID) associated with Human T‐cell leukemia virus type‐1 (HTLV‐1) is a rare form of severe superinfected eczema seen mostly in the Caribbean islands and Latin America. Although rapid response to antibiotic treatment is observed, patients should be monitored for development of complications associated with this retroviral infection, including T‐cell leukemia/lymphoma (ATLL) and HTLV‐1 associated myelopathy/tropical spastic paraparesis (HAM/TSP). Infective dermatitis is rarely seen in the United States and therefore may be under‐recognized by physicians unfamiliar with this condition. Herein, we present an additional case report of an ID associated with HTLV‐1 in an 11‐year‐old girl from Trinidad.