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.
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We acknowledge the CSIRO (Commonwealth Scientific and Industrial Research Organisation) and the Western Australian Museum for assistance with identifying the moth.
No relevant disclosures.