a 6yrs fch came in OPD with c/o pain and swelling in lt leg snc 3 days o/e tenderness +,local temperature hard swelling ,redness, regional lymphadenopathy peripheral pulsations present, no h/o,trauma insect bites I request to all respected doctors please suggest your opinion and management

Mr.X. was found with swelling of left side of neck on the angle of mandible extending above ,below and anterior and posteriorly by three finger breadth on all side. Swelling was there for one month .No fever. mild pain was presented. Diabetic on oral drugs. carries tooth found extracted. Biopsy inflammatory in origin. tooth extraction and antibiotics and sugar control cleared the neck swelling. Discuss the all possible pathology .

45 yrs old female came for chest pain but accidentally she tells history of inability to open mouth since birth nd her lips found to b edematous. Can anyone sort out this diagnosis ?? Thank u

45/m having left knee cellulitis with inguinal lymphnode swelling bcoz of thorn prick e days back, treatment started on 4june, with Durataz 4.5gm bd amikacin 500bd, Chymoral forte tds zerodol sp tds. Now whole leg diffuse swelling, these type of water filled boils happen. No DM No HTN, On 4 June, cbc normal, HB 11.8, plt 109 lakh, wbc 9600 Now wbc10200, hb 8.9, plt 80k See picture carefully Suggest opinion

human bite among children how to manage this! I found a guideline of manage this.If u know more plz share. Targeted antibiotic treatment is given for manifest bacterial infections. Its varieties include: • Aminopenicilline +a beta -lactamese inhibiter (oral/intravenous) • Piperacilline /tazobactam (intravenous) • carbapenem (IV) • possibly moxifloxacilin +clindamycin In case of penicillin allergy Recommended duration of antibiotic treatment • cellulitis or abscess one to two weeks • Tenosynovitis two to three weeks • Osteomyelitis, arthritis three to four weeks [10] Infection rate of punctured wounds and wounds greater than 3 cm was 1.5 times higher than for all wounds. Total infection rates within 24 hrs antibiotic administration was 29.3% compared to 65%, <48 hrs and 81% <72 hrs. [11] If the bite appears to be consistent with human bite, the question typically asked by child protective services in whether the bite was caused by an adult or a child. In general, the most common guidelines are that the normal inter-canine distance of an adult is 2.5-4 cm. Any human bite marks with inter-canine distance more than 3 cm is most likely inflicted by an adult. [12] Human bite injuries carry the risk of being infected with bacteria flora of the oral cavity.