Cellulitis and Other Skin Infections Case 3

An 8-year-old girl, attends your ED with her mother who is concerned about a rash on her face. You discover that the rash began at the site of a scratch, which became red, itchy, weepy and then developed a yellow crust.

Mum treated the rash with some cream obtained from the GP and initially it improved but then several more spots appeared. Now the cream is not helping and the eczema on the patients arms has also become red and itchy which is preventing her from sleeping.

List four reasons why you should take a detailed history of this patient.

It transpires that the cream used was Fucidin^® 1%, and she is using aqueous cream on her eczema. The tub is a large one and has been in use for several months as her eczema is normally mild and does not require emollients every day. A swab was taken at first presentation and grew Staphylococcus aureus, which was fully sensitive to flucloxacillin and erythromycin.

Which of the following management options are appropriate?

Select one or more options.