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Child has pus-filled, itchy spots on body. Scabbing after applying cream. How to prevent recurrence?

Hi, 2 years ago my 6 year old son was diagnosed with impetigo , and after a treatment with antibiotic cream, the red pussy spots went away. A few months later he got it again, on his head, and he was treated with antibiotics . Since then every few months these spots appear, we treat it with antibiotic cream and they go away immediately. However, a month ago he started getting quite a few, and while the antibiotic cream worked on the existing spots, he keeps getting more and more. Now his legs and feet are covered with them, and new ones appear daily. We went to the doctor and he said it was not impetigo, but that it was a reaction to something that we don t know. He gave him antibiotics to take for 7 days for tonsillitis which he happened to have at the time we went to the doctor, and also a new cream. Again, the cream works for the existing spots, but new ones keep appearing. What can we do? He now has spots on his neck , tummy, back, hands, legs and feet. They are itchy at first, and have a lot of puss in them. After treatment they turn scabby. Please help as doctors here (in Spain) don t seem to have a solution. Thank you! Claire
Asked On : Wed, 14 Nov 2012
Answers:  1 Views:  360
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Pediatrician 's  Response
hello claire,
as per the information you have provided it seem to be case of some kind of immunodeficiency (defect in the immune system of your child) that may make your child prone to infections by some particular micro organisms (bacteria). it may need some blood investigations like complete blood count (CBC), peripheral smear comment, Immunoglobulin profile and other test to reach to the diagnosis. you should also get the pus culture from the site taken to know the particular organism causing this infection. meanwhile you can take some precautions to prevent recurrence like maintain proper hygiene, cutting the nails short and keep them clean, etc. you can write to me if i can be of any help to you
Answered: Wed, 14 Nov 2012
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