P.S. asks from Northampton, MA on September 06, 2008
Advise on Reaction or Viral
My 6year old daughter had a staph infection from a blister on her heel. They gave her keflex. Shes allergic to amoxicillin. A few days after being on Keflex she started with a fever and stomach upset. Because her heel was healing and looking better they felt she caught a viral infection on top of it. Now shes been done with the Keflex for 2 days and she now a rash all over her body. I did notice the other day on her cheeks but tossed it up to her being so flush because of the fever. My question now is I'm wondering if it could have had anything to do with the Keflex(same family as amoxicillin) or something just due to the viral part of it like fifths disease? Just wondering what some of your thoughts might be while i'm waiting for the Dr's office to open.
So What Happened?™
So we're waiting on the rest of her blood work to come back. So far the blood work that came back right away looks okay. The Dr said its really rare to have a reaction to a medication once you've been done with it for a few days. They told me they try keflex(cephalexin) when a child is allergic to amoxicillin. They say only 3 to 6% of people are allergic to both. My pharmacist also called them himself to double check that's what they wanted to try.
So as of right now they are leaning towards it being a viral thing. The nurse is supposed to call me today and let me know how the rest of blood work came back. The dr said yesterday while we were at the office that they may want me to go the ER to get some imaging stuff done on her stomach depending on how the blood work came back. She didn't feel that was necessary as of yesterdays blood work.
Today the rash (doesn't seem to itch to much) has gotten worse, stomach upset and the good news if you can call it that is the fever hasn't come back as soon as the motrin wore off. Shes getting a few hours in between the fever coming back now.
Thank you all for taking the time to respond!! Every little bit is helping..I'm even taking notes off your responses of things to ask the doctor! Thank you again so much! Please keep them coming if you have any other thoughts.
SO the doctor called me today and told me that my daughter has Mono!She says that shes really young for it but that the blood test came back +. The reason behind the rash she thinks is because she was on an antibiotic along with the mono. So there is no real treatment for now.... Thank you all again!!
Featured Answers
A.G. answers from Lewiston on September 07, 2008
I don't know if anyone below mentioned this but an allergic reaction ussually happens within MINUTES of being exposed to an allergin. As for the rash it is most likely part of the mono. Aveeno in the bath water is AWESO9ME! Jsut keep offering the fluids and what ever she will eat and keep down.
I hope she feels better soon :)
More Answers
G.H. answers from Barnstable on September 07, 2008
The good news is that her blister is healing. She probably did have a reaction to the Keflex. If it is in the same family as Amoxycillin that would make sense. What doesn't make sense is that she was given something related to a drug that gave her an allergic reaction. My daughter is allergic to Penicillin and they therefore assume to all "..cillin" drugs. She has also had a reaction to Cefxil/Ceflosporin (sp?) so she never gets anything in that family of drugs, either. When she needs an antibiotic she gets Zythromax or Biaxin. (Her pediatricians always pay close attention to her drug allergies.) Good luck.
J.M. answers from Boston on September 07, 2008
Hi
Keflex is a sulfur based antibiotic, not penicillin based like amoxicilin. If there is a rash it may be an allergic reaction. Does the rash resemble hives? That is the first sign of an allergic reaction to a sulfur based antibiotic, it is also fairly common for children who are allergic to penicillin to be allergic to sulfur. The reaction can take a few days to manifest itself. Try giving her benedryl and see if it helps the rash. Hope this helps Jo
B.P. answers from Boston on September 07, 2008
Hi ther,
Not sure if you'll get this. I just want to let you know that typicaly an allergic reaction increases with the number of doses someone gets. It also gets worse with each exposure. Not sure why your MD said it was stange and unlikly cause it's been a few days. That is actually very common. I work as an ER RN and see it all the time. Good luck, hope your baby feels better quickly.
S.K. answers from Providence on September 07, 2008
While a rash is a common allergic reaction to antibiotics, it can also be the sign of a staph infection, especially accompanied by a fever. And since your child is being treated for staph, I would take this very seriously. I have a friend who just spent 5 days in the hospital with a Keflex resistant staph infection stemming from a cut.
You should get the answering service to have your Dr call you back right now, and if you cannot be seen immediately in the Dr.'s office, take your daughter to the ER, even if your Dr does not recommend it. I would be wary of a diagnosis of a virus, when staph is already present. Staph can be very serious, life threatening.
J.Z. answers from Boston on September 07, 2008
My son had fifths and I know he had the rash on his cheeks, but I think it also moved down his shoulders and arms. I don't think she would get a fever from an allergic reaction. My kids have had viruses before where they would have a fever and be sick for a day or two then they would break out in a rash. If I'm not mistaken I think that they had said that it can happen with viruses. The rash is the virus "leaving" the body. This was a few years back so I am not positive. Good luck!
T.D. answers from Boston on September 07, 2008
Keflex is a very powerful antibiotic and does have GI stuff as side effects. The rash I would most definitly associate with the antibiotic. I suppose it is possible she has a viral infection, but I always look at most obvious first and since she already has a reaction to something in that family, that makes the most logical sense. Don't let the doctor poo-poo you. These reactions can get more and more serious over time.
K.T. answers from Boston on September 06, 2008
As I started to read this I was kinda thinking Fifths or hand foot and mouth. There are blood tests for fifths, I got it as a adult. Let us know what the Dr says.
M.B. answers from Hartford on September 07, 2008
Hi P.,
I have a son who gets viral infections all the time. They can be misleading and uncomfortable. I feel for you. Keflex is the best medication out there for Staph. But you can use a few others. I would defiantley have a chat with your ped. Also, if the rash is still there - go in today and let the dr SEE it. My son once had a staph infection from head to toe!! They called it scaled skin - since his skin looked like it was burnt all over.
It could be a reaction as well. Any diarrhea??
I wish you luck today and answers!!
M.
Email