Picture of the month: Denouement and comment - Erythema ab igne

摘要

A 17-YEAR-OLD GIRL WITH A HISTORY OF chronic feeding intolerance secondary to gastroparesis was admitted for gastroje-junostomy tube placement. She developed soreness at the site of gastrojeju-nostomy placement, and the soreness was managed with analgesics and frequent application of warm packs to the area. Six days following tube placement, she developed a lacy, erythema tous eruption on the right side of her abdomen. Treatment was initiated with intravenous ce-fazolin sodium and later broadened to piperacillin sodium and tazobactam sodium due to concerns of worsening cellulitis. Cultures of the area were not obtained. Initial laboratory findings including those of a complete blood cell count were unremarkable, and the C-reactive protein level was minimally elevated at 22 mg/L (to convert to nanomoles per liter, multiply by 9.524).