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Images in paediatrics
Eczema coxsackium
  1. Penelope A Bryant1,2,3,4,
  2. Suzanne L Boyce2,
  3. Emma King5
  1. 1 Infectious Diseases Unit, Department of General Medicine, The Royal Children's Hospital Melbourne, Victoria, Australia
  2. 2 RCH@Home Department, The Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia
  3. 3 Murdoch Children's Research Institute, The Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia
  4. 4Department of Paediatrics, University of Melbourne, The Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia
  5. 5 Dermatology Department, The Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia
  1. Correspondence to Dr Penelope Bryant, Department of General Medicine, The Royal Children's Hospital Melbourne, Flemington Road, Parkville, VIC 3052, Australia; penelope.bryant{at}rch.org.au

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A 10-month-old boy with mild eczema presented in autumn with 5 days of worsening eczema, 1 day of fever and decreased oral intake. His parents described ‘spots’ on his chest that spread to his face and mouth, and concurrent eczema flare-up on his limbs. Treatment was with cephalexin, increased corticosteroid ointment, and pimecrolimus cream on his face. Skin swabs cultured scanty Staphylococcus aureus and were …

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Footnotes

  • Contributors PAB made the diagnosis, managed the patient and drafted the manuscript. SLB and EK managed the patient and edited the manuscript.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.