This child's presentation of an erythematous, indurated, tender rash that is warm to touch is consistent with cellulitis. Treatment should be directed at the most common bacterial etiologies of Staphylococcus and Streptococcus species.
A 9 year old female child presents to the inpatient with a two day history of upper respiratory tract symptoms and a new rash today. The mom reports that it started on the child's leg but it is spreading and is painful. The child is on no medications and immunizations are up to date.
Exam
The child looks generally well. The rash is pictured below. It is warm and tender to touch. There are obvious insect bites on all extremities.
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Authors
Dr. Joanna Holland
joanna.holland@iwk.nshealth.ca
Dr. Angela Punnett
angela.punnett@sickkids.caReviewer