[23M] Experiencing respiratory symptoms and facial rash

Patient Description

A 23-year-old male presents with a 7-day history of moderate nasal congestion with green nasal discharge, a cough producing thick green mucus for 5 days, and a fever. The patient's cough is described as moderate to severe with no specific exacerbating factors mentioned. The nasal congestion is consistent and does not fluctuate significantly throughout the day. The patient also reports a red, raised rash on the cheek under the eye, which has occurred in the same location in the past. The rash does not appear to be related to dietary factors and developed after staying at a hotel. There is slight shortness of breath but no new or worsening chest pain or difficulty breathing. The patient experiences facial pain and pressure around the sinuses and a slight headache. The patient has a history of smoking cigarettes and vaping nicotine. There is no family history of respiratory or immune system conditions, and the patient does not report any pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be possible:

  • Common Cold: The common cold is a viral infection of your nose and throat (upper respiratory tract). It's usually harmless, although it might not feel that way. Common symptoms include runny or stuffy nose, sore throat, cough, congestion, slight body aches or a mild headache, sneezing, low-grade fever, and generally feeling unwell (malaise).

    • Over-the-counter cold remedies like you're already taking (DayQuil and NyQuil) can help you feel better, but they won't shorten your cold.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause symptoms like a stuffy nose, facial pain or pressure, and coughing up thick green mucus. The fact that your symptoms are worse at night and in the morning suggests that this could be a possibility.

    • Treatment can include nasal sprays, antibiotics, or other medications to reduce inflammation.
  • Impetigo: This is a common and highly contagious skin infection that causes sores and blisters. It's caused by bacteria, and it's more common in children than adults. It could explain the rash on your face.

    • Treatment usually involves antibiotics, which can be taken orally or applied to the skin.

What you can do

  1. Continue taking over-the-counter remedies to manage your symptoms. Drink plenty of fluids and get lots of rest.
  2. Try using a humidifier to help with congestion and coughing.
  3. Avoid smoking or vaping, as this can irritate your respiratory tract and make your symptoms worse.
  4. If you believe the rash is impetigo, avoid touching or scratching it to prevent it from spreading. Wash your hands frequently.
  5. If your symptoms persist or get worse, make sure to see a healthcare professional.

What you should look out for

  • If your fever gets worse or doesn't go away
  • If your rash spreads, becomes more painful, or develops a yellow crust
  • If your cough or congestion gets worse or doesn't improve
  • If you start having difficulty breathing

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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9 mo ago


People Also Ask


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include nasal congestion, facial pain or pressure, thick nasal discharge, cough, headache, and sometimes a reduced sense of smell. Symptoms may worsen at night or in the morning.


How can smoking or vaping affect respiratory symptoms?

Smoking or vaping can irritate the respiratory tract, leading to increased coughing, congestion, and difficulty breathing. It can also slow down the healing process of respiratory infections.


What is impetigo and how is it treated?

Impetigo is a contagious skin infection caused by bacteria, characterized by red sores or blisters that can burst and form a yellow crust. It is usually treated with antibiotics, either topical or oral.


When should I see a doctor for a persistent cough and congestion?

You should see a doctor if your cough and congestion persist for more than 10 days, worsen, or are accompanied by a high fever, difficulty breathing, or if you experience severe facial pain or pressure.

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