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Diffuse Pustular Eruption After Treatment of Dog Bite
Sean F. Pattee, MD;
Nancy G. Silvis, MD;
Lansing G. Ellsworth, MD, DMV
University of Arizona Health Center, Tucson
Arch Dermatol. 2002;138:1091-1096.
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REPORT OF A CASE
A 16-year-old girl was admitted to the hospital with a fever and a diffuse
pustular rash that had developed earlier that day. Two days before admission,
she had sustained a dog bite on her right buttock and was started empirically
on a regimen of amoxicillinclavulinic acid (500 mg 3 times a day) to
prevent infection. A tetanus vaccine was also administered. The next day,
the patient went to the emergency department because of fever and vomiting.
An increased white blood cell count was noted at that time. She was given
ticarcillin-clavulanate (3.1 g intravenously) for suspected septic infection
and then sent home. The next morning, she had persistent fever and vomiting,
as well as a diffuse pustular rash that was first noted on her arms and then
spread to her face and, finally, to her legs and . . . [Full Text of this Article]
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