Pediatric emergency medicine trisk 2376 2376
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Aeromonas, other
water pathogens
and ecchymoses after
contact with brackish or
coastal water; it has also
been associated with
puncture wounds from
stingrays and fish
Cellulitis after animal
Pasteurella multocida, S. More common after cat
bite
aureus, GAS;
bites, which result in
Capnocytophaga
deep punctures that are
canimorsus
more difficult to irrigate
thoroughly; symptoms
begin within 24 hrs. Use
of amoxicillinclavulanate after animal
bites (or clindamycin +
trimethoprimsulfamethoxazole for
PCN-allergic patients)
is targeted to decrease
the risk of P. multocida
infection. Can also see
gram-positive infections
from inoculation of the
child’s skin flora deep
into a wound. C.
canimorsus most
common in
immunocompromised
hosts after dog bites or
dogs licking open
wounds
Cellulitis after clenched Eikenella corrodens,
Aerobic and anaerobic
fist injury
anaerobes; often
cultures should be sent;
polymicrobial from
in some case series,
oral flora
most pathogens are
PCN-susceptible
Plantar, following
S. aureus, GAS,
In some series,
