The child can present with fever, chills and sepsis. Treatment requires early intervention with intravenous antibiotics. Prototheca wikerhamii is a dangerous but rare infection caused by alga in wounds that are contaminated by dirty water or soil. These infections can involve the skin, subcutaneous tissues, olecranon bursa or even deep organs. In a child with normal immunity, the olecranon bursa is usually infected while children who are immunosuppressed may have skin lesions.
Treatment requires bursectomy.
Fish handler's disease is caused by Erysipelothrix rhusiopahiae, a gram-positive, facultatively aerobic bacillus. It occurs mostly in the coastal United States where crabs are handled, with the most frequent reaction being a dermatitis. A hallmark lesion can appear within one to seven days after a puncture wound. Finally, there are jellyfish. Children play in shallow waters where the jellyfish tend to stay.