To the Editor: We wish to alert our colleagues to an unusual case of culture-negative paediatric osteomyelitis after exposure to a toxic Australian moth. A previously well 5-year-old boy presented to a remote hospital emergency department with inflammation and urticarial rash of the left third finger and left fifth toe after playing with a “dead” moth. His mother had removed numerous small filaments at the time, and he had no other significant history, exposure to toxins, or trauma.
Publication of your online response is subject to the Medical Journal of Australia's editorial discretion. You will be notified by email within five working days should your response be accepted.