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



 
 
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  #21  
Old December 4th 03, 05:35 PM
user
external usenet poster
 
Posts: n/a
Default strange rash on a 10-month old. please help!

I'd be REALLY leery of giving a 10-month old shrimp, as shellfish are high
up on the list of allergenic foods. And what's this "chewed up by mom" bit?
If the baby doesn't have the teeth to handle the food, use a knife or a fork
to mash it up!

"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.




  #22  
Old December 4th 03, 06:50 PM
LisaBell
external usenet poster
 
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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.


My eldest got a rash which looked very similar to this when she took
amoxycillin as an infant. It was mainly on her torso, but looked just
the same as your pictures. I was concerned at the time in case this
was a serious allergic reaction that could escalate, but was told to
monitor her breathing and continue the drug, which we did. The rash
eventually faded and she has had amoxy since without any similar
reaction, so I don't know whether it was in fact related to the drug.

On the whole, although we have not observed any consistent allergy to
a specific substance, I have found that my daughter has a tendency to
break out in rashes or hives periodically, and also has a relatively
bad reaction to insect bites - but nothing has needed more than
topical treatment or OTC anti-histamines, so far (she is now 5).

--Lisabell

  #23  
Old December 4th 03, 07:10 PM
C Du
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Posts: n/a
Default strange rash on a 10-month old. please help!

Hi,

Thanks so much for such educated pieces! I am sure not only us benefited
from your replies greatly! Thank you thank you!

When you have time, could you explain a bit more (in plain english if
possible) what's the difference between drug eruption and allergy?

Also, one piece info I failed to mention in our original post (but I did fix
my webpage), is that Josh got yellowish mucus from his nose from time to
time, just prior to the initial fever. He also had coughs from time to time.
Maybe two or three times a day and sometimes at night, but can be very scary
(as if he's choking and it seems coming from deep inside). Would that
justify our doc's usage of antibiotics?

As of today (full 7 days later), his rash is subsiding and he's currently on
Children's benadryl. We hesitate to put him on medications of any kind, but
a call to our doctor this morning and we were told to keep him on it. After
the rash, I guess then he'll put him on another type of antibiotics, which
was mentioned briefly during our last visit (two days ago). This time, his
justification would be the cough. That cough woke me up one night (I am very
sound sleeper), and it was long (about 5 or 6 coughs in a row) and deep, as
if he was choking.

Thanks again!

Will

PS We'll put him off those seafood for the time being... but we thought he
was on the light side of his weight chart and needed some good protein. He
has not gained much weight for about 4 months now. He was 17 and half when
he made 6 month visit and now he's 10 months and 18 lbs. Recently, he
throwed up twice when eating and gaging from time to time when eat, which
often stops us from further feeding, in fear of another "eruption". Any
tips? By the way, he seems like tofu alot.


"PF Riley" wrote in message
...
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



  #24  
Old December 4th 03, 07:19 PM
Mary Gordon
external usenet poster
 
Posts: n/a
Default strange rash on a 10-month old. please help!

thought you'd be interested in these articles. A sizable chunk of kids
develop a rash from Amoxicillan and it isn't necessarily allergy
related.

http://www.aaaai.org/aadmc/ate/amoxicillin.html
http://www.drgreene.com/21_307.html
http://www.mcg.edu/pediatrics/CCNote...er2/rashes.htm


Mary G.
  #25  
Old December 4th 03, 08:07 PM
toypup
external usenet poster
 
Posts: n/a
Default strange rash on a 10-month old. please help!


"user" wrote in message
. com...
I'd be REALLY leery of giving a 10-month old shrimp, as shellfish are

high
up on the list of allergenic foods. And what's this "chewed up by mom"

bit?
If the baby doesn't have the teeth to handle the food, use a knife or a

fork
to mash it up!


I think it's common in some cultures for the mom to chew up the food for the
baby. I'm told that's what my grandma did for my dad. It would be more
hygenic to use something else, but they didn't have forks or food mills that
I'm aware of. Knives were for cooking. They weren't usually used at the
table. He lived in a rural village.


  #26  
Old December 4th 03, 09:20 PM
Jenn
external usenet poster
 
Posts: n/a
Default strange rash on a 10-month old. please help!

In article ZBLzb.420513$HS4.3344596@attbi_s01,
"toypup" wrote:

"user" wrote in message
. com...
I'd be REALLY leery of giving a 10-month old shrimp, as shellfish are

high
up on the list of allergenic foods. And what's this "chewed up by mom"

bit?
If the baby doesn't have the teeth to handle the food, use a knife or a

fork
to mash it up!


I think it's common in some cultures for the mom to chew up the food for the
baby. I'm told that's what my grandma did for my dad. It would be more
hygenic to use something else, but they didn't have forks or food mills that
I'm aware of. Knives were for cooking. They weren't usually used at the
table. He lived in a rural village.



hardly necessary in the US today -- and of course it is a great way to
make sure the kids have dental decay since this is one way the germ
that causes it is spread
  #28  
Old December 4th 03, 11:45 PM
Ilse Witch
external usenet poster
 
Posts: n/a
Default strange rash on a 10-month old. please help!

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.


To me it sounds like an allergic reaction to the amoxicillin. I am
allergic to that myself, and the first time the rash did not start
until several days after I stopped taking the pills. So it is not
unheard off to have a reaction that late. HTH!

--
-- I
mommy to DS (16m)
guardian of DH (32)
TTC #2
War doesn't decide who's right, only who's left

  #29  
Old December 5th 03, 04:53 AM
JennP
external usenet poster
 
Posts: n/a
Default strange rash on a 10-month old. please help!


"H Schinske" wrote in message
news:20031204162447.15398.00000189@mb-

My daughters got a rash from their first dose of amoxicillin (I think

that's
what it was, possibly ampicillin, I always get them mixed up) at five

weeks. We
were told it was a *reaction* to the drug but not an *allergic* reaction.


I remember when ds was a baby and on antibiotics for the first time that my
ped actually warned me that he may develop a rash and that it would be quite
common.

He happens to have a confirmed *allergy* to penicillin. BIG difference
between itchy hives and a red, bumpy rash. Once your kid gets actual hives,
there's no confusing the difference.

--
JennP.

mom to Matthew 10/11/00
remove "no........spam" to reply


  #30  
Old December 5th 03, 06:08 AM
PF Riley
external usenet poster
 
Posts: n/a
Default strange rash on a 10-month old. please help!

On Thu, 04 Dec 2003 18:10:34 GMT, "C Du"
wrote:

When you have time, could you explain a bit more (in plain english if
possible) what's the difference between drug eruption and allergy?


Basically, the term "allergy" should ideally be used only to refer to
a reaction mediated by a specific type of antibody (IgE), whereas
other nonspecific reactions (i.e., vomiting, non-IgE-mediated rashes,
diarrhea, etc.) are not technically true allergies. The distinction is
important because a life-threatening allergic reaction, anaphylaxis,
is IgE mediated.

I've always thought we should refer to a patient's "drug intolerances"
and not "drug allergies." People say they are "allergic" to
erythromycin because it caused vomiting or Augmentin because they got
diarrhea. Hogwash.

Also, one piece info I failed to mention in our original post (but I did fix
my webpage), is that Josh got yellowish mucus from his nose from time to
time, just prior to the initial fever. He also had coughs from time to time.
Maybe two or three times a day and sometimes at night, but can be very scary
(as if he's choking and it seems coming from deep inside). Would that
justify our doc's usage of antibiotics?


Like I said, I too would likely have felt antibiotics could be
potentially beneficial for presumed sinusitis in this case, not
because of the color of the mucus (which has no diagnostic value in
this setting), but because of the duration of symptoms. However, like
I said, if you take this same scenario but add a new fever as well, I
am actually much LESS inclined to start an antibiotic, first because
of the trouble it can cause (viz. present case-in-point) without a
firm diagnosis and second because the ongoing cold symptoms may simply
be from a new virus infection being heralded by the fever, which cold
symptoms could simply clear on its own within a week without
antibiotics.

As of today (full 7 days later), his rash is subsiding and he's currently on
Children's benadryl. We hesitate to put him on medications of any kind, but
a call to our doctor this morning and we were told to keep him on it.


Well, honestly, if the rash was never itchy and it doesn't seem to
change much when Benadryl is given, I don't see much benefit to
Benadryl. It's not like a week-long course of Benadryl cures rashes.
The rash will do its thing, Benadryl or not.

Benadryl can, however, make urticaria (an itchy rash more likely to be
IgE-mediated and therefore typically related to true allergy, although
viruses themselves can trigger true urticaria too) disappear for the
six hours it lasts in the system but the rash reappears after that if
it's not finished running its course.

After
the rash, I guess then he'll put him on another type of antibiotics, which
was mentioned briefly during our last visit (two days ago). This time, his
justification would be the cough. That cough woke me up one night (I am very
sound sleeper), and it was long (about 5 or 6 coughs in a row) and deep, as
if he was choking.


And it sounds very much like he still has an ongoing sinusitis that
needs to be treated, indeed.

PS We'll put him off those seafood for the time being... but we thought he
was on the light side of his weight chart and needed some good protein. He
has not gained much weight for about 4 months now. He was 17 and half when
he made 6 month visit and now he's 10 months and 18 lbs.


There is nothing wrong with weighing 18 lbs. at 10 months! Many babies
peak in weight at around 6 months and lose that chub over the rest of
the first year by slowing down their weight gain. As long as he's not
LOSING weight, there's no reason to try to "fatten" him up. A far
greater problem in the U.S. is kids weighing too much, not too little.

And besides, speaking of allergy, infants under 12 months should avoid
shellfish, shrimp, and lobster anyway, and it wouldn't hurt to avoid
other fish too, because of the risk of food allergies. Extra protein
doesn't make you gain weight.

PF
 




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