A male toddler presents to the CED because mom is worried about a rash on his lower right leg. She says it started all of sudden yesterday after he complained of getting bit by a bug. Overnight it has become red, swollen, and hurts when it’s touched. He’s had no fevers.
Afebrile and vital signs are all normal. 5cmx4cm area of raised erythema along the anterior lower right leg. No fluctuance felt and no obvious pustules seen. No drainage noted. It is very painful to touch.
1.) Non-antibiotic therapy
2.) Antibiotics therapy
o Mild and immunocompetent host
3.) Anticipatory guidance
By Jeremiah Smith, MD
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Pediatric EM Blog
Pediatric EM Fellows at CMC/Levine Children's Hospital.
Disclaimer: All images are the sole property of CMC Emergency Medicine Residency and cannot be reproduced without written consent. Patient identifiers have been redacted/changed or patient consent has been obtained. Information contained in this blog is the opinion of the authors and application of material contained in this blog is at the discretion of the practitioner to verify for accuracy.