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Child having pain, swelling after insect bite on knee. Two more bumps coming. Cause?

9 yr old daughter got what looked to be an insect bite on her knee about 2 mts ago. Ended up swelling up with a large head on it, painful to touch. It eventually popped and pus oozed out. Seemed to leave a scab/ scar . A few weeks later, a second bump showed up, just like the first. And now a third bump is starting to form. Is there some kind of chigger or insect that has burrowed underneath her skin?
Asked On : Wed, 17 Oct 2012
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Pediatrician 's  Response
it may not be an insect bite, but a boil that is coming up again and again. if recurrent it is called as chronic furunculosis.

generally this occurs due to a bacteria that has formed nidus in the hair follicles and causes recurrent boil formation.

at present what she may need is a course of anti biotics on the prescription of a pediatrician, too eradicate the infection and may be some topical antibiotic ointment.

the best way to prevent this is to maintain a good hygiene most importantly cleaning hands regularly with soap and water not for your daughter only but also for other family members.
other things like short and clean nail, regular use of soap while bathing, wearing clean clothes, not to play on dirty surfaces, using clean bed sheets etc may help decrease possibility of reinfection.

some times a person may get this from a close friend or family member who may be a asymptomatic carrier of the bacteria, through fomites like towels, bedsheets etc.

so you should get your family members screened for this also.

i hope these things help you in solving your problem
feel free to write to me in case u need any other advice
thank you
Answered: Sun, 18 Nov 2012
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