Update to previous bite mark case. Another view of the bites | Figure 1

Update to previous bite mark case. Another view of the bites, as well as what appears to be an adult grab mark on her arm. An investigation was opened into the daycare and this child did not return. The prosecutor did not come criminal charges.

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this 7yo girl showed with this bite surrounded by an area of redness (RUBOR), swelling (TUMOR), heat (CALOR), and exquisite tenderness (DOLOR). Based on this I diagnosed #Cellulitis of the thigh. I marked off and dated the area and then started her on #Cephalexin with follow-up the next day. The next day it had not improved and so it was re-marked and we started her on #Clindamycin in accordance with local #antibiograms. The next day she returned to clinic again and it was almost completely resolved (not shown). #Antibiotic-stewardship takes time and work, but it's also part of our job.



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