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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Suffering From Scarlet Fever. Spot On Nipple. On Penicillin. Cure With Medicine?

hi my daughter is 5 and i took her to the docters on thurs and she said she had been suffering from scarlette fever , as her tounge was a tell tale sign and she had been unwell , high tem pluss lump on really sore cracked lips , although she has been suffering from this for a few weeks , nurse noticed small spot on her nipple when checking her breathing and said it was all to do with the same thing , she has also had a bad cough for 3 weeks which has subsided! she is on penacilin but the spot on her nipple has became noticably bigger n looks like there is alot more puss inside, shud i be taking her back to the docs or will the medicine she is on take care of things , thanks
Thu, 28 Feb 2013
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Pediatrician 's  Response
Hi ,
Thank you for your query.
If the lesion is pus filled and tender ,not decreasing in size with treatment then you need to consult your doctor.
You can apply a mupirocin intment over the area for a few days.
She might need incision and drainage of the pus.
If you have any further queries you are free to consult me.
Hope this answers your query.
Wishing a speedy recovery.
Have a nice day.
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Pediatrician, Cardiology Dr. Pradeep Kumar Jain's  Response
Hello
Children with scarlet fever present with characteristic clinical features like sore throat, cough, fever with erythematous rashes (sand paper like) over the body including face, strawberry tounge and cracked sore lips. Localised reddened raised lesion with suspected pus inside indicates some cellulitis (mastitis),which is different fromthe usual rash of scarlet fever. Although she is getting antibiotic, a clinical evaluation is needed to exclude any abscess which may need incision and drainage.
So I would suggest you to consult your doctor for examination and to rule out evolving abscess.
Regards
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Child Suffering From Scarlet Fever. Spot On Nipple. On Penicillin. Cure With Medicine?

Hi , Thank you for your query. If the lesion is pus filled and tender ,not decreasing in size with treatment then you need to consult your doctor. You can apply a mupirocin intment over the area for a few days. She might need incision and drainage of the pus. If you have any further queries you are free to consult me. Hope this answers your query. Wishing a speedy recovery. Have a nice day.