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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Have A Itchy Rash On Butt. Used Hydrocortisone Cream. When It Spread Given Trimathcone. Now Have Chills, Fever. Suggestions?

2days ago my daughter broke out with a itchy rash on her butt i applied hydrocortisone cream and the second day it spread into the crack of her butt so i took her to the dr and they prescribed a cream trimathcone im sure thats not spelled right but im sure u know what im talkn about....well today she woke up with chills and fever i gave her 2 motrin but tonite the fever is back....can u tell me what to do
Mon, 21 Oct 2013
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General & Family Physician,  's  Response
Hi and thank you so much for this query.

I am sorry to hear about this rash and the eventual fever that your daughter has developed.

From the description of these symptoms, the break in her skin on the butt has created an opening for germs to gain access into the body and cause and infection. The fact that she has now developed fevers warrants and immediate consultation for proper investigation and management. You may continue to use the fever to control the fever but getting her evaluated by a pediatrician is the best next step.

All the creams you have applied are able to deal with the itches bu not the cause of these itches except they are allergies. If this is a child, the most common cause is usually a fungal infection that needs antifungal creams and not steroids. However, without examining the patient it would be difficult to make a definitive call and that's why getting consulted is of prime importance.

I hope this helps and guides you. Thanks for using our services and feel free to request for more information if need be. I wish your daughter well.
Thanks.
Dr. Ditah, MD
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Child Have A Itchy Rash On Butt. Used Hydrocortisone Cream. When It Spread Given Trimathcone. Now Have Chills, Fever. Suggestions?

Hi and thank you so much for this query. I am sorry to hear about this rash and the eventual fever that your daughter has developed. From the description of these symptoms, the break in her skin on the butt has created an opening for germs to gain access into the body and cause and infection. The fact that she has now developed fevers warrants and immediate consultation for proper investigation and management. You may continue to use the fever to control the fever but getting her evaluated by a pediatrician is the best next step. All the creams you have applied are able to deal with the itches bu not the cause of these itches except they are allergies. If this is a child, the most common cause is usually a fungal infection that needs antifungal creams and not steroids. However, without examining the patient it would be difficult to make a definitive call and that s why getting consulted is of prime importance. I hope this helps and guides you. Thanks for using our services and feel free to request for more information if need be. I wish your daughter well. Thanks. Dr. Ditah, MD