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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sore On Back, Painful, Puffiness, Painful, Discomfort. What Is Wrong?

My 8 year old daughter has an open sore on her back about midway up in the middle. She can't think of any incident that could have caused it. It is painful even when she doesn't move. I attempted to put triple antibiotic ointment and a bandaid on it, which she claimed made it worse. I removed the bandaid and saw that the sore was now puffy and red. After removing the ointment the puffiness slowly went away. It is round and a little bit larger than a pencil eraser. It seems to cause her more pain and discomfort than an ordinary scrape on her back would. Should I be concerned?
Wed, 10 Apr 2013
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Dermatologist 's  Response
hi
Seems like you daughter has developed a pyoderma on the back...
Pyoderma means any skin disease that is pyogenic. It refers to bacterial infections of the skin.
It is very important to clean it regularly with an antiseptic liquid daily and apply some antibiotic cream...Do not cover it with bandaid or anything...leave it open...but remember to wear only soft cotton clothes..If inspite of regular cleaning and application of the antibiotic cream, the lesion still is increasing in size,, then she might need oral antibiotics...along with anti-inflammatory drugs...I would recommend that you visit a dermatologist if the lesion persists or increases in size or if the child complains of excess pain or develops fever...
Hope it helps
Dr Geetika Paul
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3 Doctors agree with this answer

Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

Obviously, it sound like a bacterial infection - a boil that has given way...
The child must be seen by a skin specialist for proper diagnosis...

The symptoms were worse after the application - She might have had a reaction to the ointment, applied... It is not always the drug, but the medium in which it is presented, preservatives, colouring agents and so on could be allergenic.

Take care
Wishing speedy recovery
God bless
Good luck
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Sore On Back, Painful, Puffiness, Painful, Discomfort. What Is Wrong?

hi Seems like you daughter has developed a pyoderma on the back... Pyoderma means any skin disease that is pyogenic. It refers to bacterial infections of the skin. It is very important to clean it regularly with an antiseptic liquid daily and apply some antibiotic cream...Do not cover it with bandaid or anything...leave it open...but remember to wear only soft cotton clothes..If inspite of regular cleaning and application of the antibiotic cream, the lesion still is increasing in size,, then she might need oral antibiotics...along with anti-inflammatory drugs...I would recommend that you visit a dermatologist if the lesion persists or increases in size or if the child complains of excess pain or develops fever... Hope it helps Dr Geetika Paul