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Eleanor E. Sahn, MD; Robert T. Migliardi, MD

Arch Dermatol. 1994;130(1):105-106.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A small pustule consistent with an arthropod bite developed on the left parietal scalp of a 3-month-old boy. A papule developed at the site, which slowly enlarged over the following month despite two courses of systemic antibiotics. On admission, the boy had left cervical lymphadenopathy (3x5 cm) with torticollis to the right, left posterior occipital lymphadenopathy, and a left parietal erythematous nodule (1x2 cm) with an eroded, crusted surface (Figure 1). The physical examination was otherwise normal. The complete blood cell count and differential and erythrocyte sedimentation rate were normal. A chest roentgenogram demonstrated left cervical lymphadenopathy. A skin biopsy specimen was obtained from the left parietal nodule on the scalp (Figure 2 and Figure 3), which showed a suppurative and granulomatous dermatitis and folliculitis. The papillary and reticular dermis were composed predominantly of granulation tissue with occasional ruptured follicles surrounded by a marked neutrophilic . . . [Full Text PDF of this Article]

Author Affiliations
Medical University of South Carolina, Charleston

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