Hi
Welcome to the HCM
In my opinion, if the lesions on hands are itchy then your daughter seems to have an
allergic reaction to the drug. You can follow the following measures to treat her:
1. Hold zifi immediately. Start other Antibiotic such as Sup. Azithromycin for her
throat infection. Azithromycin belongs to a completely different group of drugs, so it should be fine.
2. Give her an antihistamine such as Syp. chlorpheniramine or Syp. Benadryl for allergic reaction.
3. Apply cold ice followed by calamine lotion over lesions for relief of itching.
4. In case she has difficulty in breathing, immediately contact ER at hospital as it might be an
anaphylactic reaction.
A rare possibility if the lesions are non itchy, is of
staphylococcal infection. For its management,
1. Change your antibiotic to Amoxicillin-clavulanate and complete the whole course of atleast 7 days.
2. Apply fusidic acid cream over lesions.
If she doesn't respond, contact your
pediatrician.