AT THE time of her adoption in China, where she had been in an orphanage since 6 weeks of age, this 6-month-old girl had a fever (temperature, 38.8°C) and several large, red swellings on her scalp. A local physician began treatment with oral erythromycin and topical mupirocin ointment with no improvement in her condition.
When the infant arrived in the United States 9 days later, the scalp lesions had enlarged and coalesced with spontaneous drainage of blood and purulent material (Figure). She continued to have a low-grade fever.
Denouement and Discussion
Folliculitis, Furunculosis, and Carbuncles
Top, Multiple circumscribed erythematous nodules are present on the scalp with thin, tense overlying skin and central fluctuation representing furuncles. Center, Large, boggy, erythematous areas representing the coalescence of furuncles with multiple drainage sites are typical of carbuncles. Bottom, A close-up view of a carbuncle demonstrating loculated abscesses with pus and bloody drainage.Folliculitis, furunculosis,
Eley CD, Gan VN. Picture of the Month. Arch Pediatr Adolesc Med. 1997;151(6):625-626. doi:10.1001/archpedi.1997.02170430091019