An uncommon manifestation of a common summertime problem

Prior to the onset, he spent the day playing outdoors in a wooded area (creek bed), where exposure to plants such as poison ivy is common. Secondary infections are very uncommon, but if the patient scratches open a port of entry, Staphylococcus aureus or other organisms can establish an infection (Figure 7). James H. Brien, DO, is with the department of infectious diseases at McLane Children's Hospital, Baylor Scott & White Health, and an adjunct professor of pediatrics at Texas A&M College of Medicine in Temple, Texas.