Judah, a 2-Year-Old Boy with Buttock Pain and Redness

Abstract

CASE PRESENTATION Judah is a 2-year-old boy who presents to the emergency department (ED) with 4 days of worsening redness, pain, and swelling to his left buttock. He saw his pediatrician 2 days ago and was prescribed cephalexin for a presumed skin infection. His symptoms have continued to worsen despite taking the cephalexin as prescribed. Over the last day, he has also had poor oral intake, decreased urine output, and fever. In the ED, he is started on intravenous (IV) clindamycin and fluids. The ED physician requests that you evaluate Judah for admission given that his symptoms have not responded to outpatient antibiotic treatment.