Cellulitis of the Knee in a 16-Month-Old Boy!!
Hello, my 16-month-old nephew is having chief complaint of a red and angry rash on the right knee, as described by his mother. His mother noticed the erythematous reaction during a diaper change on the morning of the visit but denied any noticeable erythematous rash, pyrexia, or skin markings on the day before the office visit. The patient exhibited no signs of distress and no apparent guarding while walking. Patient’s medical history revealed no allergies, no medication, and no changes in food or environment. It also included no recent hospitalizations, except when he was previously treated for an upper respiratory infection 4 months prior. He was treated with amoxicillin, and the infection was resolved with no exacerbations or complications. Doctor indicated cellulitis of the Knee. What should we do now?
@niyam Cellulitis is a skin infection of the subcutaneous tissues that is clinically diagnosed based on the presentation of a nonpurulent erythematic rash with striations and irregular margins, swelling, and local tenderness as seen in this case. It also has the potential to spread rapidly to various regions of the body adjacent to the initial dermatologic outbreak. An infection that spreads through the fascia and skin could have detrimental consequences for a 16-month-old child. Because the rash had changed in a matter of hours, the possibility of toxic shock was not to be dismissed or taken lightly. However, toxic shock is more frequently seen in NF. Clindamycin is considered the most effective agent against group A streptococci and is frequently used in the treatment of severe infections such as NF to prevent streptococcal toxic shock syndrome