Advise on Reaction or Viral

Updated on September 07, 2008
P.S. asks from Northampton, MA
14 answers

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.

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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!!

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A.G.

answers from Lewiston on

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 :)

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E.C.

answers from Providence on

I looked it up online and Keflex is not in the same family as amoxicillin. If your child is allergic to amoxicilling, she should never be given anything in that family and do make sure you remind the doctor of that allergy whenever they prescribe anything. I am allergic to all "cillin" drugs and all sulfa drugs so I know how often I need to remidn the doctor of these allergies. I do feel from my own experience that people allergic to one family of meds though often seem to be allergic to others as well so I would not dismiss the fact that it could be an allergy. If the doctor does not agree, still keep it in mind in the future if anyone goes to prescribe the med to her again tell them what happened and see what they say. Good luck -- those rashes are scary but usually look worse than they are.

My nephew -- same age group - broke out in a crazy rash head to toe this week too so maybe it is a virus going around!

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C.K.

answers from Boston on

Did you look on the "monograph" you get from the pharmacy that lists side effects & allergy warnings? It should tell you if those are reasons for keflex side effects or not. Or call your pharmacist they can tell you. Then notify your childs doctor of what happened.

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S.S.

answers from New London on

The rash for fifths disease, from what I understand, is just on the cheeks and has a "slapped face look". My daughter had roseola not that long ago which can cause a rash all over and starts with a fever. There is no medicine for that, it's just one of those things that goes away with time but we had a couple of homeopathic tinctures to boost her immune system to help her along. Being that my daughter is still very young, I couldn't tell you if she had an upset stomach as well. I know she wasn't eating, but with a fever like that, I wouldn't want to eat either.

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N.P.

answers from Boston on

P. S.

I am always concerned when there is a rash involved. If your doctor schruggs it off, get a second opinion from another doctor (even in the same office). This just doesn't sound right to me. Best of Luck. N.

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R.K.

answers from Springfield on

My son gets a rash everytime he gets sick. Its common w/ kids. If she had a fever and upset stomach it most likely wasn't the keflex. What does her rash look like. Most dr. office's will return your call at any hour even if they aren't opedn. You could call and speak to someone. If you describe the rash to them they would be able to give you an idea of what is going on. Fifth's disease generally has cold like symptoms and a fever then you develope a rash that starts on the cheeks and spreads over the rest of the body. If she looks real bad I would take her to the ER if your dr. isn't open today. Good luck

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M.B.

answers from Hartford on

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.

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K.T.

answers from Boston on

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.

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T.D.

answers from Boston on

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.

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J.Z.

answers from Boston on

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!

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S.K.

answers from Providence on

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.

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B.P.

answers from Boston on

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.

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J.M.

answers from Boston on

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

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G.H.

answers from Barnstable on

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.

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