1 00:00:01,440 --> 00:00:03,960 What? Tell me again. 2 00:00:04,200 --> 00:00:06,720 How was your moment of fame? 3 00:00:07,040 --> 00:00:08,160 Really? 4 00:00:08,720 --> 00:00:10,720 Do I get royalties? Hahaha! 5 00:00:10,800 --> 00:00:11,040 Yay! 6 00:00:11,840 --> 00:00:13,480 We'll go to Vegas together. 7 00:00:26,360 --> 00:00:34,960 Welcome to another episode of— We're gonna— we don't have an episode here. 8 00:00:35,320 --> 00:00:38,240 It's just— Dr. Paul here. 9 00:00:38,800 --> 00:00:42,600 We've got an interesting rash I wanted you to see, and also 10 00:00:43,440 --> 00:00:45,600 it's sort of a diagnostic dilemma. 11 00:00:46,080 --> 00:00:49,560 Is this an allergic reaction or not? 12 00:00:50,320 --> 00:00:51,600 Alright, alright, alright. 13 00:00:51,760 --> 00:00:53,340 I'm gonna wash my hands here. 14 00:00:53,600 --> 00:00:58,560 So For our viewers, um, 15 00:01:00,080 --> 00:01:04,400 mom has amazing English, but she didn't want to use her English 16 00:01:04,920 --> 00:01:06,880 because she said it wasn't good. 17 00:01:07,000 --> 00:01:11,280 So I'm going to do the talking, which is too bad because your English is amazing. 18 00:01:12,200 --> 00:01:17,640 All right, so this young lady is 4 months old, right? 19 00:01:17,960 --> 00:01:22,800 Yep, 4 months old, and had bronchiolitis, which was a viral 20 00:01:23,200 --> 00:01:27,520 respiratory thing, a lot of coughing and wheezing and That's an illness 21 00:01:27,560 --> 00:01:28,930 that lasts a long time, and it did. 22 00:01:28,960 --> 00:01:32,440 This was all of May and was starting to clear up. 23 00:01:32,480 --> 00:01:37,160 We still had a tiny bit of congestion when 3 days ago a fever developed, 24 00:01:37,960 --> 00:01:43,480 and the fever was up to 102 point something— point 7— and 25 00:01:44,920 --> 00:01:49,360 went to an emergency, pediatric emergency or urgent care, diagnosed with a bilateral 26 00:01:49,480 --> 00:01:52,360 ear infection, both ears being infected, and put on amoxicillin. 27 00:01:53,040 --> 00:01:59,735 And then the next day, so 2 days ago, developed— the fever started 28 00:01:59,760 --> 00:02:01,360 breaking and then developed a rash. 29 00:02:01,520 --> 00:02:04,280 It was just a tiny bit at first and then it spread. 30 00:02:04,400 --> 00:02:06,280 So we're gonna just go look at that rash. Hi! 31 00:02:07,040 --> 00:02:07,840 Whatcha doing? 32 00:02:08,400 --> 00:02:10,160 Whatcha doing? You gonna give us a smile? 33 00:02:10,480 --> 00:02:11,760 You gonna give us a smile? 34 00:02:12,040 --> 00:02:13,240 I know you can do it. 35 00:02:13,800 --> 00:02:14,920 I know you can do it. 36 00:02:15,640 --> 00:02:16,440 There it is! 37 00:02:17,160 --> 00:02:20,080 That's a hard one to get a smile. 38 00:02:21,080 --> 00:02:22,240 Mm. 39 00:02:23,560 --> 00:02:29,560 You can see— this is a faint, slightly raised pink rash 40 00:02:30,160 --> 00:02:34,960 that— it's interesting, if I push on it, you will notice that it disappears. 41 00:02:36,280 --> 00:02:39,080 And when I let go, pop, it comes back. 42 00:02:39,880 --> 00:02:44,840 That is very characteristic of a viral rash, a viral exanthem. 43 00:02:45,520 --> 00:02:49,335 Now the concern we have here is that this young lady's been— she's 44 00:02:49,360 --> 00:02:51,640 still smiling, sorta. He's so cute. 45 00:02:52,080 --> 00:02:52,840 She's so cute. 46 00:02:53,160 --> 00:02:56,600 Got a little bit on the face, but it's mostly on the trunk and a 47 00:02:56,800 --> 00:02:59,200 little bit down onto the legs. What you doing? 48 00:02:59,880 --> 00:03:01,880 What you doing? There you are. 49 00:03:02,400 --> 00:03:03,360 Tee tee tee tee tee. 50 00:03:04,200 --> 00:03:06,840 You want to talk? You want to talk? 51 00:03:08,080 --> 00:03:08,700 Yeah? 52 00:03:09,040 --> 00:03:13,120 She's been on amoxicillin, which is an antibiotic, for her ear infection. 53 00:03:13,280 --> 00:03:14,240 Yes, you have. 54 00:03:15,400 --> 00:03:17,520 For the 2 and a half days or so. 55 00:03:18,400 --> 00:03:22,415 Mom called Advice yesterday and was given the advice, stop the amoxicillin, this 56 00:03:22,440 --> 00:03:25,040 might be an allergic reaction, which is certainly possible. 57 00:03:25,560 --> 00:03:28,735 Anytime you have a rash, new rash while on an antibiotic, you 58 00:03:28,760 --> 00:03:32,520 should call your provider, probably stop it until you're sure it's not allergic. 59 00:03:33,280 --> 00:03:37,095 So the question for us today, the diagnostic dilemma for you is, is this 60 00:03:37,120 --> 00:03:38,880 an allergic reaction to amoxicillin? 61 00:03:40,040 --> 00:03:45,080 Well, in my crystal ball, I would tell you probably not. 62 00:03:46,120 --> 00:03:47,840 Why am I not 100% sure? 63 00:03:48,600 --> 00:03:51,720 Well, allergic reactions can come in many forms. 64 00:03:52,200 --> 00:03:57,055 It usually is that classic raised irregular border hives, what you call, or 65 00:03:57,080 --> 00:04:01,215 target lesions, which we'll show you some descriptions and links to other 66 00:04:01,240 --> 00:04:02,800 videos that show classic hives. 67 00:04:03,360 --> 00:04:09,320 This is more of that very faint kind of spotty blanching rash, not hives at all. 68 00:04:10,200 --> 00:04:14,240 The other thing that makes me feel pretty sure that this is not hives is that 69 00:04:14,960 --> 00:04:16,640 I'm almost certain it's roseola. 70 00:04:16,880 --> 00:04:21,920 Now roseola is a common childhood illness caused by a herpes virus. 71 00:04:22,000 --> 00:04:23,980 It's not the kind of herpes that we worry about. 72 00:04:24,005 --> 00:04:27,560 It's not that kind. It's a different herpes, 6, not 1 or 2. 73 00:04:28,240 --> 00:04:32,920 And the classic story is a 6-month-old, and we're not quite 6 months, 74 00:04:33,000 --> 00:04:34,660 I know, but you're precocious. 75 00:04:34,920 --> 00:04:37,640 You're precocious. You just want to get things done fast. 76 00:04:37,720 --> 00:04:38,520 That's right. 77 00:04:39,080 --> 00:04:42,520 That's right. Yeah, we're getting done fast. 78 00:04:43,080 --> 00:04:47,560 So typically 6 months to 3 years of age, you have a fever 79 00:04:48,200 --> 00:04:51,120 for a day or two, the fever breaks, and boom, you get the rash. 80 00:04:51,360 --> 00:04:52,960 It's almost like classic. 81 00:04:53,000 --> 00:04:54,240 You see that, it's roseola. 82 00:04:54,720 --> 00:04:59,040 So I was telling— talking with mom, we're gonna put possible allergic reaction in 83 00:04:59,120 --> 00:05:02,560 the chart just in case because we did have a rash while on an antibiotic, 84 00:05:03,120 --> 00:05:07,975 but Mom has another young child at home who, if this was roseola, good chance 85 00:05:08,000 --> 00:05:09,760 that child's going to get the same story. 86 00:05:09,960 --> 00:05:13,400 So a fever, and then the fever breaks and you get the rash. 87 00:05:13,480 --> 00:05:17,320 And if that happens, then I am positive, 100%, this is roseola. 88 00:05:17,400 --> 00:05:19,960 All right, so there you have it, folks. 89 00:05:20,280 --> 00:05:23,320 The other thing about roseola is kids are pretty happy. 90 00:05:23,560 --> 00:05:26,560 They're usually not that sick, and they get better within a day or two. 91 00:05:27,440 --> 00:05:28,240 So, sounds good. 92 00:05:28,320 --> 00:05:31,480 Or 3 or 4, but Okay, you guys, thanks for watching. 93 00:05:31,560 --> 00:05:36,160 A big thumbs up for lovely mom and baby willing to share their stories so that you 94 00:05:36,200 --> 00:05:39,855 can learn what to watch out for when you're worried about allergies, when 95 00:05:39,880 --> 00:05:44,160 you're worried about rashes, and in a little baby, roseola possibly. 96 00:05:44,600 --> 00:05:45,120 Thanks for watching.