Goat Bite in a 4-Year-Old Boy

November 1, 2006

Consultant for Pediatricians, Consultant for Pediatricians Vol 5 No 11, Volume 5, Issue 11

A 4-year-old boy was bitten on the right index finger by a goat at a petting zoo. The bite created 2 superficial 2-mm open wounds. One of the lesions developed into an indurated 8-mm nodule during the following week. A second nodule developed about 5 days later. The boy was seen by his physician 2 weeks after the bite wounds occurred. At that time, an 8-mm umbilicated nodule and a satellite papule were present.

THE CASE: A 4-year-old boy was bitten on the right index finger by a goat at a petting zoo. The bite created 2 superficial 2-mm open wounds. One of the lesions developed into an indurated 8-mm nodule during the following week. A second nodule developed about 5 days later. The boy was seen by his physician 2 weeks after the bite wounds occurred. At that time, an 8-mm umbilicated nodule and a satellite papule were present.

Eighteen days after the child was bitten, an erythema multiforme-like rash developed on his distal extremities. This rash resolved about a week later.

Which of the following diagnostic possibilities is the most likely?

A. Pyoderma gangrenosum

B. Pyogenic granuloma

C. Orf with erythema multiforme

D. Herpetic whitlow

E. Milkers nodule

For the answer and discussion log-on to . . .

www.ConsultantLive.com/pedsquiz

. . . or look for the answer in the December issueof Consultant For Pediatricians.