Question

A mother brings her three-year-old daughter to her pediatric office stating that the girl has had fever and chills for three days. the girl also has a large, intensely red patch with a distinct margin on her leg and a nearby swollen lymph node. when the health care provider touches the area, it is firm and warm, and the girl screams in pain. based on these observations, the provider makes a presumptive diagnosis and begins treatment. part a based on the observations given, what is the probable diagnosis made by the health care provider?

Answer 1

Answer: Seeing all the symptoms, the doctor diagnosed the diseases to be Erysipelas. It is a superficial form of cellulitis, by Group A beta haemolytic Streptococcus pyogenes.

Symptoms:

• Tenderness
• Red patches
• Swollen lymph node leading to lymphatic damage
• Pain on touching the patch Purpura
• Bleeding into skin may cause

Treatment:

• General treatment include Cold pack, Compression shockings
• Antibiotic treatment include Erythromycin, Erythromycin or Vancomycin in facial erysipelas.

.

Answer 2

Answer: Erysipelas

Erysipelas is an acute infection caused by group A Streptococcus bacteria. Causes skin rash usually on the legs and toes, face, arms, and fingers with a distinct margin (just like the toodler had on her leg).
It can spread to lymph nodes and some other symptoms are fever, chills, and pain on the affected areas.
It can be treated with penicillin V.