[18F] With sudden onset left foot pain and systemic symptoms

Patient Description

An 18-year-old female presents with sudden onset of throbbing and sharp pain in the left foot, accompanied by redness and slight swelling on the heel. The patient also reports experiencing chills, vomiting, and headaches randomly. There is no recent history of injury, change in footwear, or new physical activities. The patient has a medical history of asthma, epilepsy, and mental health issues, diagnosed in 2008. Current medications include Briviact, Adderall, lamotrigine, hydroxyzine, and guanfacine for epilepsy, mood disorders, and breathing issues. The patient is allergic to amoxicillin. No recent travel or infections reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possibilities to consider:

  1. Cellulitis or Skin Infection: The sudden onset of sharp, throbbing pain, redness, warmth, and a rash on your foot could indicate a skin infection like cellulitis. This condition occurs when bacteria enter the skin, often through a small cut or abrasion, even if you don't recall an injury. It can cause swelling, redness, and warmth, and sometimes systemic symptoms like chills.

  2. Gout: Although less common in young individuals, gout can cause sudden, severe pain, redness, and warmth in the affected joint, often the big toe. It is caused by the accumulation of uric acid crystals in the joint.

  3. Allergic Reaction: The rash and warmth could be due to an allergic reaction, possibly to something that came into contact with your foot. However, this is less likely given the absence of spreading or worsening of the rash.

  4. Neuropathy or Nerve Involvement: Given your history of epilepsy and the medications you are on, there could be a possibility of nerve-related pain, although this is less likely to cause redness and warmth.

The vomiting and headaches could be unrelated to your foot symptoms but may need to be evaluated, especially considering your history of epilepsy.

What you can do

Foot Pain and Redness:

  • Seek Medical Attention: It's important to see a healthcare provider as soon as possible to evaluate your foot. They may perform a physical examination and possibly order tests like blood work or imaging to determine the cause.
  • Keep the Foot Elevated: Elevating your foot can help reduce swelling.
  • Avoid Walking or Putting Pressure: Rest your foot as much as possible to prevent further irritation or injury.
  • Monitor Symptoms: Keep an eye on the rash and any changes in your symptoms, such as increased swelling or spreading redness.

Vomiting and Headaches:

  • Stay Hydrated: Ensure you are drinking enough fluids to prevent dehydration from vomiting.
  • Rest in a Dark, Quiet Room: This can help alleviate headaches.
  • Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share this information with your healthcare provider.

What you should look out for

  • Worsening Symptoms: If you notice increased redness, swelling, or pain in your foot, or if the rash starts spreading, seek medical care immediately.
  • Fever or Increased Chills: These could indicate a more serious infection.
  • Neurological Symptoms: Given your history of epilepsy, if you experience any changes in your seizure pattern, increased frequency, or new neurological symptoms, contact your healthcare provider promptly.

Remember, while this information can help guide you, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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27 d ago


People Also Ask


What are the common symptoms of cellulitis and how is it treated?

Common symptoms of cellulitis include redness, swelling, warmth, and pain in the affected area, often accompanied by fever and chills. Treatment typically involves antibiotics to fight the infection, and it's important to seek medical attention promptly.


Can gout occur in young individuals and what are its symptoms?

Gout is less common in young individuals but can occur. It typically presents as sudden, severe pain, redness, and swelling in a joint, often the big toe. It is caused by the accumulation of uric acid crystals. Treatment involves medications to reduce pain and inflammation and lifestyle changes to manage uric acid levels.


How can I differentiate between an allergic reaction and a skin infection?

An allergic reaction often presents with itching, hives, or a rash that may spread, while a skin infection like cellulitis usually involves localized redness, warmth, and swelling. If unsure, it's best to consult a healthcare provider for an accurate diagnosis.


What should I do if I experience vomiting and headaches along with foot pain?

If you experience vomiting and headaches along with foot pain, it's important to stay hydrated and rest. Monitor your symptoms and seek medical attention, especially if you have a history of epilepsy, as these symptoms could be related or indicate a more serious condition.

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