strange rash on a 10-month old. please help!

It looks JUST LIKE the Roseola rash my daughter had a few weeks ago. Rash
lasted about 4-5 days and didn't bother her. It came and went in severity
too.


"JG" wrote in message
t...
"C Du" wrote in message
. ..

Our son Josh is having a rash that's even strange to the doctor.
Basically,
he got a rash two days after taking antibiotics for the first time
(Amoxicilin). The rash looks like red small dots (see photos in the
web page
below). We stopped the antibiotics and it gradually reduced over 3
days.
Then it came back again, stronger. Right now the doc not sure whether
it's
allergy to antibiotics or not, since it should not restart. And virus
usually don't come back like this either.

Could you help us please? We'll probably go to see an allergy
specialist
tomorrow if he won't get any better (he's on Benadryl now). The rash
itself
seems not bothing the Josh. What we concern most is that we might be
overlooking something more serious. The following is a complete
description
of his illness history and any related information we could think of,
which
can also be found on the webpage we created, along with photos.

I'm not a doctor, but given Josh's age and the pattern you've described
(fever, followed by a non-itchy rash that spreads), roseola (a virus)
came to mind. No doubt many other things could cause the same symptoms
(and it's probable your physician considered roseola, which, common as
it is, shouldn't be "strange" to a pediatrician). Good luck tracking
down the cause!

C Du wrote:



medication.

He has been breastfed and started last month on formula (Similac Advance).
Regular food including oatmeal cereal, canned baby food (Gerber, fruit,
vegi, chicken etc), banana, and sometimes very small amount of fish and
shrimp (chewed up by mom)

Not what you're asking, but did you know that dental cavities are
"contagious" and one way to reduce the bacteria that cause them is to
avoid "mouth to mouth" contact between adult and child (like toothbrush,
spoon, etc.) Might be wiser to use a small food mill or processor.

"CY" wrote in message
news:jtyzb.23481$o9.2301@fed1read07...
It looks JUST LIKE the Roseola rash my daughter had a few weeks ago.
Rash
lasted about 4-5 days and didn't bother her. It came and went in
severity
too.

I'm hoping the OP gets a satisfactory diagnosis. While it *could* be a
"classic," harmless amoxicillin rash, (1) those usually don't show up
until about 5 days after starting the course of treatment and (2) as
long as it's "just" a rash (i.e., hives don't develop; it doesn't become
itchy), there's usually no need to stop taking the amoxicillin--the rash
will go away anyway. (It's also unlikely the child will develop the
rash again if/when amoxicillin is prescribed at some future point.) All
of this leads me to wonder why the doctor prescribed an antibiotic in
the first place; i.e., why he/she suspected Josh might have a bacterial
infection in the absence(?) of lab tests confirming one. Just what we
need--another M.D. contributing to bacteria becoming resistant...

C Du wrote:

Our son Josh is having a rash that's even strange to the doctor. Basically,
he got a rash two days after taking antibiotics for the first time
(Amoxicilin). The rash looks like red small dots (see photos in the web page
below). We stopped the antibiotics and it gradually reduced over 3 days.
Then it came back again, stronger. Right now the doc not sure whether it's
allergy to antibiotics or not, since it should not restart. And virus
usually don't come back like this either.


Why specifically is he on Amox.? Ear infection, sinusitis, what was the
diagnosis that led to antibiotics? If there isn't a clear cut bacterial
infection I would stop the antibiotics, and see how it goes in the coming days.
It looks to me like Roseola (contagious childhood virus characterized by high
fever for 2-3 days prior to onset of rash similar to the one shown -
administration of the amox could just be coincidental with the outbreak) as
others have suggested, which can come and go in severity over the course of a
few days, but should resolve within a week. My daughter gets severe hives and
is treated using prescription Atarax and steriod treatment, but I doubt you'd
need anything of that caliber for what is likely a virus or skin reaction that
will resolve on its own, especially if it doesn't seem to bother him.

cara

"JG" wrote in message
t...
"CY" wrote in message
news:jtyzb.23481$o9.2301@fed1read07...
It looks JUST LIKE the Roseola rash my daughter had a few weeks ago.
Rash
lasted about 4-5 days and didn't bother her. It came and went in
severity
too.

I'm hoping the OP gets a satisfactory diagnosis. While it *could* be a
"classic," harmless amoxicillin rash, (1) those usually don't show up
until about 5 days after starting the course of treatment and

Wouldn't that only be if the child never had amox before? If they'd had it
before, then the reaction may occur sooner.

"CY" wrote in message
news:jtyzb.23481$o9.2301@fed1read07...
It looks JUST LIKE the Roseola rash my daughter had a few weeks ago. Rash
lasted about 4-5 days and didn't bother her. It came and went in severity
too.

DS had roseola and the rash appeared smooth. The splotches were bigger and
diffuse. The rash of the OP's child seems raised and are smaller. Not a
doc, really. Just what the doc told me it was when I brought DS in.

On Thu, 04 Dec 2003 01:10:02 GMT, "C Du"
wrote:

Our son Josh is having a rash that's even strange to the doctor. Basically,
he got a rash two days after taking antibiotics for the first time
(Amoxicilin). The rash looks like red small dots (see photos in the web page
below). We stopped the antibiotics and it gradually reduced over 3 days.
Then it came back again, stronger. Right now the doc not sure whether it's
allergy to antibiotics or not, since it should not restart. And virus
usually don't come back like this either.

The story you give is a classic presentation for a viral exanthem
being mistaken for a drug eruption. It also serves as a reminder of
one of the many, many reasons why amoxicillin shouldn't be used as an
antipyretic. Dollars to doughnuts this kid will be made to believe he
is "allergic to penicillin" for the rest of his life.

PF

It looks like an amox rash. I've had it and I'm an adult!

"C Du" wrote in message
. ..
Our son Josh is having a rash that's even strange to the doctor.
Basically,
he got a rash two days after taking antibiotics for the first time
(Amoxicilin). The rash looks like red small dots (see photos in the web
page
below). We stopped the antibiotics and it gradually reduced over 3 days.
Then it came back again, stronger. Right now the doc not sure whether it's
allergy to antibiotics or not, since it should not restart. And virus
usually don't come back like this either.

Could you help us please? We'll probably go to see an allergy specialist
tomorrow if he won't get any better (he's on Benadryl now). The rash
itself
seems not bothing the Josh. What we concern most is that we might be
overlooking something more serious. The following is a complete
description
of his illness history and any related information we could think of,
which
can also be found on the webpage we created, along with photos.

Thank you very much in advance!

Cathy and Will
please post or reply to:

this webpage has photos and descriptions:
http://131.247.137.56/rash/

Detailed info below:

He is 10 months old, weights 18 lbs and started daycare a month ago, in an
infant room with 5 other kids (all under age of 1), taken care most of the
time by two teachers. He had a stuffy nose on and off for 20 days. Then he
got fever on Monday night (11/24, 101.7F under arm, reduced by Tyleno).
Went
to see Doc Tuesday (11/25) and was put on antibiotic (Amoxicilin). He took
them noon time and dinner time. Tuesday night still got fever (102,
reduced
by Tyleno). Wed took anti; Wed night didn't since he throwed up the
medicine. No fever that night. Thursday morning (11/27) we noticed rash
(not
ichy), only under clothes and inside diaper (see photo). Called Doc on
duty
and was told probably viral infection and keep taking anti. Took anti in
the
morning and dinner time. Rash worsened next day and speading to whole
body,
legs and arms, even face (Friday (11/28). Called again, same Doc on duty
and
told to stop anti and wait to see if disappear in 48 hours. Slowly fading
by
Sunday afternoon. Monday (Dec.1) was ok so he was in daycare, by evening
time rash came back, starting all over the body (see photo). Went to see
Doc
next day (Tuesday 12/2) and put on Benadryl, suspecting anti induced
allergy
but not sure, since they seldom restart. He took Benadryl (1/2 tsp) noon,
5pm, 9pm and 3am. 12/3 morning notice rash reduced in the trunk area but
increased in the legs and arms. Called Doc again and was told to keep
medication.

He has been breastfed and started last month on formula (Similac Advance).
Regular food including oatmeal cereal, canned baby food (Gerber, fruit,
vegi, chicken etc), banana, and sometimes very small amount of fish and
shrimp (chewed up by mom) mixed with cereal. Nothing special was
introduced
during this time as far as we could tell. We live in Florida and his daily
routine is pretty much daycare and home (apartment). He started walking
about 2 weeks ago and can take several steps by himself alone. He's got 2
fully out teeth (up and down) and two more showing up just now. I have
full
resolution pictures if you need them (3mb resolution). Thank you very
much.

It sort of looks like the rash my daughter had after a round of antibiotics
that she ended up being allergic too. I am not sure why it returned though,
unless it just takes a while to get out of his system. If I remember
correctly, it took about a week for my daughter's rash to go away. Good luck
in finding the cause.
--
Sue (mom to three girls)
I'm Just a Raggedy Ann in a Barbie Doll World...

C Du wrote in message
. ..
Our son Josh is having a rash that's even strange to the doctor.
Basically,
he got a rash two days after taking antibiotics for the first time
(Amoxicilin). The rash looks like red small dots (see photos in the web
page
below). We stopped the antibiotics and it gradually reduced over 3 days.
Then it came back again, stronger. Right now the doc not sure whether it's
allergy to antibiotics or not, since it should not restart. And virus
usually don't come back like this either.

Could you help us please? We'll probably go to see an allergy specialist
tomorrow if he won't get any better (he's on Benadryl now). The rash
itself
seems not bothing the Josh. What we concern most is that we might be
overlooking something more serious. The following is a complete
description
of his illness history and any related information we could think of,
which
can also be found on the webpage we created, along with photos.

Thank you very much in advance!

Cathy and Will
please post or reply to:

this webpage has photos and descriptions:
http://131.247.137.56/rash/

Detailed info below:

He is 10 months old, weights 18 lbs and started daycare a month ago, in an
infant room with 5 other kids (all under age of 1), taken care most of the
time by two teachers. He had a stuffy nose on and off for 20 days. Then he
got fever on Monday night (11/24, 101.7F under arm, reduced by Tyleno).
Went
to see Doc Tuesday (11/25) and was put on antibiotic (Amoxicilin). He took
them noon time and dinner time. Tuesday night still got fever (102,
reduced
by Tyleno). Wed took anti; Wed night didn't since he throwed up the
medicine. No fever that night. Thursday morning (11/27) we noticed rash
(not
ichy), only under clothes and inside diaper (see photo). Called Doc on
duty
and was told probably viral infection and keep taking anti. Took anti in
the
morning and dinner time. Rash worsened next day and speading to whole
body,
legs and arms, even face (Friday (11/28). Called again, same Doc on duty
and
told to stop anti and wait to see if disappear in 48 hours. Slowly fading
by
Sunday afternoon. Monday (Dec.1) was ok so he was in daycare, by evening
time rash came back, starting all over the body (see photo). Went to see
Doc
next day (Tuesday 12/2) and put on Benadryl, suspecting anti induced
allergy
but not sure, since they seldom restart. He took Benadryl (1/2 tsp) noon,
5pm, 9pm and 3am. 12/3 morning notice rash reduced in the trunk area but
increased in the legs and arms. Called Doc again and was told to keep
medication.

He has been breastfed and started last month on formula (Similac Advance).
Regular food including oatmeal cereal, canned baby food (Gerber, fruit,
vegi, chicken etc), banana, and sometimes very small amount of fish and
shrimp (chewed up by mom) mixed with cereal. Nothing special was
introduced
during this time as far as we could tell. We live in Florida and his daily
routine is pretty much daycare and home (apartment). He started walking
about 2 weeks ago and can take several steps by himself alone. He's got 2
fully out teeth (up and down) and two more showing up just now. I have
full
resolution pictures if you need them (3mb resolution). Thank you very
much.

Thank you very much for all who replied. We really APPRECIATE greatly!

A few things to add:

1) The doctor didn't see any ear infection or lung problems. His reason to
put Josh on antibiotics was that "he's losing the battle.. stuffy nose (not
running much) on and off for 20 days.."

2) There were no lab testing done to determine whether it's bateria or not.
I don't know whether that's a standard procedure or not. But from the look
of it, my doc's clinic doesn't seem to have that capacity, which leads me to
wonder if I should pick another doctor altogether

3) Should I take Josh to some specialists to make sure whether he is
allergic to amox or not? Our Doc seems to think that's un-necessary since
there are other antibiotics we can use and no point to test and know whether
it's amox allergy or not.

Thanks so much!!

Will
PS Josh seems doing better this morning. Rashes are less on his trunks and
those on legs and arms are not as severe as yesterday. Today marks a whole
week since he developed this rash. No antibiotics (Amox) has been taken for
6 whole days.


"PF Riley" wrote in message
...
On Thu, 04 Dec 2003 01:10:02 GMT, "C Du"
wrote:

Our son Josh is having a rash that's even strange to the doctor.
Basically,
he got a rash two days after taking antibiotics for the first time
(Amoxicilin). The rash looks like red small dots (see photos in the web
page
below). We stopped the antibiotics and it gradually reduced over 3 days.
Then it came back again, stronger. Right now the doc not sure whether
it's
allergy to antibiotics or not, since it should not restart. And virus
usually don't come back like this either.

The story you give is a classic presentation for a viral exanthem
being mistaken for a drug eruption. It also serves as a reminder of
one of the many, many reasons why amoxicillin shouldn't be used as an
antipyretic. Dollars to doughnuts this kid will be made to believe he
is "allergic to penicillin" for the rest of his life.

PF