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
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.
Disclaimer: All original material and images included on this website are the sole property of CMC EM Residency and cannot be used or reproduced without written permission. Information contained on this website is the opinion of the authors and does not necessarily represent the official opinion of Atrium Health or Carolinas Emergency Medicine Residency.
For Health Care Providers: Every effort is made to provide the most up to date evidence based medicine. However, this content may not necessarily reflect the standard of care and application of material contained on this website is at the discretion of the practitioner to verify for accuracy.
For the Public: This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Relying on information contained on this website is done at your own risk. Do not disregard professional medical advice or delay seeking care secondary to content on this website. Call 911 or seek a medical professional immediately for any medical emergencies.
Like us on Facebook or
follow us on Twitter/Instagram
Department of Emergency Medicine
Medical Education Building., Third floor
1000 Blythe Blvd.
Charlotte, NC 28203