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Allergic reaction to AMOX or strep infection causing skin rash - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Rash
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   Hello my 30 month old female, is 48 hours post Amoxil for AOM..has developed rash on back and limbs..c/o lower leg pain..febrile : 39.1C-38.3 with analgesia q4h. should I take her to emerg?
User :   I should add the rash is under the skin, lace/mottle like in appearance. she also has increased nasal secretions, watery eyes, wet productive cough
Doctor :   hello
Doctor :   i am Dr
Doctor :   give me a min please i am going thru your query
User :   I am trying to blanch the rash but she is sooooo weeepy and VERY warm to touch
Doctor :   i see
Doctor :   she seems to be having a allergic reaction
Doctor :   she needs to be taken to the ER
User :   she hasn't had anything out of the ordinary though.
Doctor :   yes i can understand in adults such condition can be controlled by just giving benedryl
User :   That is your advice? No further questions? would the fact that her 5 year old sister is +ve for Step make a difference..
Doctor :   but in children we don't want to take chances
User :   What about the leg pain? I suspect she is way too young to have a DVT,,is was just a very odd complaint
Doctor :   yes DVT is out of the question
Doctor :   from the signs and symptoms you have told me its a typical allergic reaction that needs medical attention
User :   could she have Strep now also
Doctor :   yes it can be strep .
Doctor :   since how long she has been having these symptoms now ?
User :   her trunk is warm to touch but hands and feet are cold. I was trying to decide if it is mottling or a rash. it is not petchiae though (thank goodness)
User :   AOM Tx with 250 mg Amoxil x 10 days...done Rx 48 hrs.
User :   Febrile x 8 hours...39.1C - 38.3 Tx with Tyl/advil
Doctor :   delayed hypersensitivity
Doctor :   39 is high fever
User :   Congested cough 24 hours, along with runny nose and watery eyes.
Doctor :   after taking advil does the fever subsides ?
User :   comes down to 37.7
User :   temperment change..clingy, irrtiable, teary...
Doctor :   ok
Doctor :   yes you please take her to ER
Doctor :   its a acute reaction
Doctor :   and we should not delay it
User :   loose stools, no diarrhea, no vomitting, thristy + +
User :   but to what?
Doctor :   two possibilities . one is the reaction to amox ( which is common ) second being strep infection
Doctor :   do keep her well hydrated
Doctor :   and she needs quick medical attention
User :   any other systems I can tell you about?
Doctor :   the history you have given me is well detailed enough and characteristic of a allergic reaction
User :   should I try give her benadryl?
User :   or no in case it is also Strep?
Doctor :   no dont give her any medication now BUT just take her to ER
User :   okay
Doctor :   we dont want any drug interaction
User :   of course
Doctor :   you have provided me with a very clear picture of symptoms
Doctor :   something that we dont see much often from patients
Doctor :   and that really helps a physician
User :   I am a pediatric nurse. Rashes historically make me crazy nervous! I just wanted some professional advice since I am going on 4 days with minimal to no sleep. As I said my 5 year old has Strep, I have bronchial pneumonia, and my 7 year old was swabbed for strep yesterday. I wanted to make sure I was not 'crazy'
User :   :)
Doctor :   no wonder you are very specific and clear
User :   The mom who is a pediatric nurse in emerg...I said I needed to be sure I wasn't over the top with worry, lack of sleep, run down etc. Thanks!
Doctor :   your most welcome
Doctor :   take care
Doctor :   good bye
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