Article Text

PDF

885 Infectious Erythema Nodosum
  1. H Rahmoune1,
  2. N Boutrid1,
  3. H Torki2,
  4. S Chehad3,
  5. B Bioud1
  1. 1Pediatrics, University Hospital of Setif
  2. 2Pediatrics, EHS Mère-Enfant, El-Eulma, Setif
  3. 3Dermatology, University Hospital of Constantine, Constantine, Algeria

Abstract

Introduction Erythema nodosum (EN) is a dermatological entity can belong to several causes. We describe two cases, side two of the offending pathogens.

Material and method Case 1: A little boy of 7 months was admitted for febrile erythema nodosum

The history, by cons, reveals a close tuberculosis contact:the father was treated for pulmonary tuberculosis, but no chemoprophylaxis has been lavished on the family.

High inflammatory markers and a 14mm-tuberculin test are holding a post-tuberculosis EN. Antibiotic treatment allows bio-clinical resolution.

Case 2: A 5 year old girl was admitted for acute EN. She has, outside of a purulent amygdalytis, no other pathological signs.

In addition to high ESR and CRP, the results found for ASLO = 800 ui.

The rapid resolution in antibiotic anti-streptococcal etiology confirms the suspicion.

Results and discussion: The EN is the most common inflammatory nodules or panniculitis.

Investigation of an EN is often much custom and takes particular account of local epidemiology, history, geographic origin and associated signs evoking a particular pathology.

Discussion of these cases can raise some discussion points

  • The place still occupied worrying Mycobacterium tuberculosis in pediatric morbidity

  • B-hemolytic streptococcus is a public health problem

The value of prevention, secondary and tertiary, deserves an ongoing effort on targeted risk populations.

Conclusion The EN is dogmatically infectious first.

Streptococcal infection is currently the most common cause, after eliminating a primary tuberculosis.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.