Thursday, December 13, 2007

Spots

History:  5 year old with rash on torso.  Small raised bumps with no center or red vesicles.
Patient is currently on day 6 of a 10 day course of amoxicillin.

Has your child ever broken out in spots that itch all over?  Well Reina (my 5 year old) had a case of these that just showed up yesterday.
They were small raised bumps that didn't have any center or red vesicles.

Of course my first thought was chicken pox but she had gotten immunized at 12 months and she really didn't seem too sick.  

According to Dr. Sears (on the internet) he said you don't need to page the doctor for a case of the spots - just bring them in the next day.  So then I paged Colin.

The next day her back looked like this!  (She took 25mg Benedryl for itching and sleeping at night.)  

Diagnosis: Morbilliform Drug reaction to Amoxicilin. Probably a type IV hypersensitivity  (not "allergic" reaction)

In my words: her immune system was slowly reacting with the antibiotic and finally raised red flag and said STOP.


2 comments:

  1. I hope the little one if feeling better now. and by the way welcome to the blogasphere you guys. I can't wait to see and hear more of the life of the jones clan!

    -Douglas

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  2. Heya guys! I got your card - barely. The post office knows me now, so you could pretty much put Jared Ord and Olds Alberta on a card and it would get to me. I'll have to update you on my new address. We are still in Olds. Sorry to hear about the spots. Colin - remind you of III? Sounds like you guys are doing well. Drop me a line at (so I don't get spam I'll spell it out) jaredord at gmail dot com. (I loved the part in your card where you said if Alek was quiet he was stuffing candy in his mouth until he got caught - thats our little Carter. He's 4 now.) FYI we have 2 boys, 6 and 4, and our little girl who is almost 2. Anyways -take care!!

    Jared

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