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



 
 
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  #11  
Old December 4th 03, 07:50 AM
toypup
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Posts: n/a
Default strange rash on a 10-month old. please help!


"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.


  #12  
Old December 4th 03, 07:54 AM
toypup
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Default strange rash on a 10-month old. please help!


"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.


  #13  
Old December 4th 03, 08:19 AM
PF Riley
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Default strange rash on a 10-month old. please help!

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
  #14  
Old December 4th 03, 01:15 PM
dejablues
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Posts: n/a
Default strange rash on a 10-month old. please help!

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.




  #15  
Old December 4th 03, 01:41 PM
Sue
external usenet poster
 
Posts: n/a
Default strange rash on a 10-month old. please help!

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.




  #16  
Old December 4th 03, 02:02 PM
C Du
external usenet poster
 
Posts: n/a
Default strange rash on a 10-month old. please help!

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



  #17  
Old December 4th 03, 04:47 PM
PF Riley
external usenet poster
 
Posts: n/a
Default strange rash on a 10-month old. please help!

On Thu, 04 Dec 2003 06:54:02 GMT, "toypup"
wrote:

"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.


Roseola just happens to be one particular viral exanthem that has a
name, so people often call any exanthem "roseola" whether it really is
or not.

Some of the pictures do look like roseola, some don't. It doesn't
really matter -- whether the exanthem is caused by HHV-6 or some other
virus is irrelevant.

PF
  #18  
Old December 4th 03, 04:49 PM
PF Riley
external usenet poster
 
Posts: n/a
Default strange rash on a 10-month old. please help!

On Thu, 04 Dec 2003 06:50:02 GMT, "toypup"
wrote:

"JG" wrote in message
et...
"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.


It's important to distinguish between a true drug allergy and a drug
eruption. Drug eruptions are idiosyncratic and can occur at any time
during therapy and, in my experience, are more common than true
allergy (e.g. urticaria, swelling). The distinction is important
because a true allergy indicates an increased risk of anaphylaxis with
future exposre, whereas a drug eruption does not.

PF
  #19  
Old December 4th 03, 05:04 PM
PF Riley
external usenet poster
 
Posts: n/a
Default strange rash on a 10-month old. please help!

On Thu, 04 Dec 2003 13:02:49 GMT, "C Du"
wrote:

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.."


In other words, he had no clear diagnosis, but decided to start
antibiotics anyway? One can, however, make a case for acute sinusitis,
which should be suspected if there is persistent rhinorrhea beyond 10
days. However, for a child who is in daycare this time of year, it's
actually much more likely that his stuffy nose is the result of
consecutive, overlapping, uncomplicated viral infections rather than a
secondary bacterial sinusitis.

When a child gets a new fever on top of ongoing symptoms, there are
basically two possibilities: (1) A new viral infection, or (2) a
secondary bacterial infection, the two most common of which are ear
infection or pneumonia. (Sinusitis, by the way, does not usually cause
high spiking fevers unless it is a severe, invasive form that won't be
subtle on exam.)

If this child came to see me with 20 days of rhinorrhea and NO fever,
I might be inclined to treat with antibiotics for sinusitis. However,
this case demonstrates why, in the setting of a new fever without
obvious source, it is more prudent to observe off antibiotics, because
accurate diagnosis often requires re-evaluation as the disease process
evolves. Antibiotics make this re-evaluation and further treatment
much more difficult (e.g., a rash appears and the antibiotic is
suspected as in this case, or an ear infection develops requiring a
change in antibiotic, or the child develops meningitis and the CSF
culture is rendered useless, etc.). Again, there are many, many
reasons not to use an antibiotic and few good reasons to use one.

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


It is not standard procedure. For most patients with a fever, blood
tests are not helpful and in fact can often confuse the picture.

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.


I wouldn't waste a specialist's time nor subject Josh to any testing.
Next time he needs an antibiotic, he can either avoid amoxicillin or
take the first dose of amoxicillin in the doctor's office and wait
half an hour.

PF
  #20  
Old December 4th 03, 05:18 PM
kristi
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Posts: n/a
Default strange rash on a 10-month old. please help!

"Nic" nlmilesatoptushomedotcomdotaunospam wrote in message . au...
\
Thank you very much in advance!

Cathy and Will


The starting of eczema ?
That is how my dd's eczema started out and it got worse ....
just my thought ....

Nic


My son had a rash like this at about 6 months old three days after
starting penicillin. It got worse and did not clear entirely for three
weeks, even though we stopped the antibiotic after three days. We got
the same initial response from an emergency room doc-- you are
overreacting, this is just a normal viral rash. But later our family
practice doc said he thought it was a penicillin allergy. My husband,
as it happens, is also allergic to penicillin.

I hope your child is better soon!
Kristi
 




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