“…[7,18] The source of the bacterial inoculum is believed to be either from distant skin infections with transient bacteriemia or, less commonly, from local vascular or lymphatic contamination. [4,7,18,19] Children seldom have preexisting conditions compared with adults. [2,10,16,20] In the paper by Unnikrishnan et al [17] only two of 13 pediatric patients with PM had any pre-existing medical problems (asthma, juvenile arthritis), and these were not directly linked to PM.…”