Dr, Nurses or Moms--Please help!! UPDATE pg 3

Just found some info on insect bites and infants: (the bold highlighting is mine, for parts I found particularly interesting)
You are giving your child a bath and notice several bumps that weren't there earlier that day. They are scattered throughout the legs, but nothing is present on the upper body. She seems to have been scratching them. What could they be? The most common cause of such spots is insect bites. Here is the Dr. Sears guide to taking care or insect bites.

Almost everyone has experienced insect bites, so it is no mystery what they look like. The main issue with insect bites is to treat the itching and to prevent infection.

THREE MAIN TYPES OF INSECT BITES
Spider bites - these are the largest type of bite, often creating a large, raised, circular area with a visible pinpoint bite mark in the middle. They can grow in size and redness for several days, and tend to be quite painful. They can number from just one to 5 or 10, often in a straight line or confined to one body area. Spiders often travel across a body part at night, snacking along the way. The initial bite is often painful, but not always.

Flea bites - these usually occur in greater numbers than spider bites, and mostly occur on the legs (and the diaper area for crawling and sitting infants). They often are not painful at the time of the bite, and usually become increasingly itchy. Different people will react to flea bites to varying degrees. Some people are very sensitive to flea bites. Common places to get flea bites include houses with pets, beaches (sand fleas) and parks.

Mosquito bites - these usually occur in exposed areas such as hands and forearms, ankles, and neck. They are usually quite obvious, and you often will know that you and your child were outside in a mosquito environment.

this is the link that talks about treatment also:
http://www.askdrsears.com/html/10/T110210.asp

And a picture of a close up of a flea bite:
2051.jpg
 
I had DH look at the picture this morning . His first impression was "little staph pustules" or bullous impetigo. He did not read the text of your message. The appropriate treatment if that is what is it, would be a combination or Bactroban ointment and oral erythromicin. (DH is an ID doc)
 
Sorry to come late to your question. I am a family physician who has been in practice now for 13 years, and graduated from medical school 16 years ago. I had never seen a case of chicken pox until my third year of medical school, and to this day, I have never seen a live case of measles. I've seen pictures of measles in a book, and I have seen rashes that look like they could have been measles. I actuallly had both measles and chickenpox while I was in early elementary school.

I basically agree that you need to have your child seen by a more experienced doctor. Since I have in practice, the incidence of chickenpox has decreased greatly, due to vaccination, so a young doctor may not have seen a case. Also, many parents don't bring kids with chickenpox in, since, an uncomplicated case is viral and self-limited.

In places where I have practiced, nurses have been fired for telling patients inaccurate information such as you were given about the treatment of impetigo vs chickenpox. There are few things that fire me up more than when one of my nurses give patients inaccurate information.

Unfortunately, it is difficult to diagnose rashes and such when I cannot actually see the patient. One time, I had a patient who supposedly had chickenpox twice--he actually had erythema multiforme.
 
You really DO need to know what it is as it will become an issue when your child enters school. You will probably need a documented case of CP or the shot. And if not CP, looks like antibiotics are called for.
I would be upset in your shoes! Good luck and keep us posted.
 

Definitely try to get a 2nd opinion somewhere, somehow. It's hard to tell from the picture whether they are Chicken Pox or not.

Good luck!
 
Calling DebinIA...isn't she a pediatrician?? DibinIA....come in....DEB!
 
As far as I know, chicken pox would certainly be apparent on the torso, not limited to the area your little one has bumps on. My dd had impetigo years ago, but it was a patch of almost peeling skin and didn't look like that. If you go to google, however, and put the word impetigo in under image search, many cases do indeed look like what your child has. If it is impetigo, treatment is necessary as it is a bacterial infection. In defense of the doc, many younger docs don't see chicken pox these days due to the vaccination mandated now BUT the doc should know that there is a treatment for impetigo, and if there is any question that this is what your child has...it should be treated as such given the contageous nature of this condition! See another doctor asap! Good luck!!!!
 
I agree that this actually looks like fire ant bites. As soon as I saw the picture I looked to see where you live. Fire ants could have easily found him, even inside. Especially with all the rain lately. And they DO find their way into diapers too. Little ones are on the floor all the time.
 
It doesn't look like chicken pox, which my son has had, so I have seen them.

It does look like a rash my four year old had about a month ago. I never found out what it was, but I used neosporin on it. It didn't respond to the neosporin like a skin infection, so my guess is it was viral, but I would go ahead and use some neosporin on it a couple times a day, anyway. It couldn't hurt. My son's rash went away after about a week.
 
It only takes one fire ant to cause a reaction like this. If you happen to be sensitive to them, you will have a reaction. If you scratch one, the blisters spread. A little one could easily have one bite and a scratch could cause the spread. If it is from fire ants, you must keep him from scratching them.
 
My youngest DS had Impetigo last year, and it didn't look anything like the picture in your post. Also, it was NOT treated the same way as chicken pox. Impetigo is bacterial and is highly contageous, so my son had to use a topical cream for 10 days. He also was not allowed back into daycare until he had seen the pediatrician.
 
I would take him to an Urgent aid center to start treatment before it gets worse. Impetigo is more like an open sore I had it from a spider bite once and a cousinh had it and his mom didn't treat it or take hime to the doctors and it got worse fast and spreads like crazy he ended up getting it in his eye before my mom stepped up and took him.
 
Originally posted by delilah
Sorry to come late to your question. I am a family physician who has been in practice now for 13 years, and graduated from medical school 16 years ago. I had never seen a case of chicken pox until my third year of medical school, and to this day, I have never seen a live case of measles. I've seen pictures of measles in a book, and I have seen rashes that look like they could have been measles. I actuallly had both measles and chickenpox while I was in early elementary school.

I basically agree that you need to have your child seen by a more experienced doctor. Since I have in practice, the incidence of chickenpox has decreased greatly, due to vaccination, so a young doctor may not have seen a case. Also, many parents don't bring kids with chickenpox in, since, an uncomplicated case is viral and self-limited.

In places where I have practiced, nurses have been fired for telling patients inaccurate information such as you were given about the treatment of impetigo vs chickenpox. There are few things that fire me up more than when one of my nurses give patients inaccurate information.

Unfortunately, it is difficult to diagnose rashes and such when I cannot actually see the patient. One time, I had a patient who supposedly had chickenpox twice--he actually had erythema multiforme.


my3kids, I agree with delilah.

Rashes especially are difficult to diagnose by a picture. You don't have the perspective of size and shape, you can't see it in 3 dimensions, you don't get an idea of how the entire patient looks (comfortable, distressed, irritable, toxic, etc). In addition, many rashes have characteristic patterns (macular, papular, morbiliform, indurated, etc), and locations (starts on face, abdomen, extremities, etc). And finally, rashes change over time -- they get bigger, spread in typical patterns, become more or less itchy etc.

For all these reasons, I think you should go back to your pediatrician, and ask if anyone else in the practice can "eyeball" the rash to see if they can figure it out. Sometimes, it just takes checking it over time for it to "declare" itself.

Good luck!!
 
It looks like it is Chicken Pox. They spread VERY mildly to his chest and face (he has 5 on his chest and 2 on his face), but the original ones are looking better and have scabbed (sp??) over.

He is still in great spirits and never touches any of the rash, if he did not look so terrible you would not know anything was wrong at all.

Thanks so much for everyone's help, I know that a photo is very hard to diagnose a skin problem and all of the advice.

Christy
 

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