Pediatric emergency medicine trisk 2376 2376

Aeromonas, other water pathogens and ecchymoses after contact with brackish or coastal water; it has also been associated with puncture wounds from stingrays and fish Cellulitis after animal Pasteurella multocida, S More common after cat bite aureus, GAS; bites, which result in Capnocytophaga deep punctures that are canimorsus more difficult to irrigate thoroughly; symptoms begin within 24 hrs Use of amoxicillinclavulanate after animal bites (or clindamycin + trimethoprimsulfamethoxazole for PCN-allergic patients) is targeted to decrease the risk of P multocida infection Can also see gram-positive infections from inoculation of the child’s skin flora deep into a wound C canimorsus most common in immunocompromised hosts after dog bites or dogs licking open wounds Cellulitis after clenched Eikenella corrodens, Aerobic and anaerobic fist injury anaerobes; often cultures should be sent; polymicrobial from in some case series, oral flora most pathogens are PCN-susceptible Plantar, following S aureus, GAS, In some series,