[32F] With a growing and oozing skin lesion

Patient Description

A 32-year-old female presents with a skin lesion that has been growing in size over the past week. Initially starting as a small bump, the lesion has evolved to the size of a quarter, exhibiting oozing, redness, and swelling. The patient reports pain in the muscle underneath the lesion but no fever or chills. The lesion began following a recent injury. The patient is currently taking ibuprofen 600mg twice daily, which provides some relief. Additionally, the patient is on trazodone, lamotrigine, abilify, and zoloft, though dosages are unspecified. No recent changes in medication have been made, and the patient denies any known contact with others who have similar symptoms or skin infections.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely cause of your symptoms is a skin infection. The two most common types of skin infections are:

  • Cellulitis: This is an infection of the deeper layers of the skin and the underlying tissue. It can cause the affected area to become red, painful, swollen, and warm to the touch. It can also cause pus or a discharge.

    • Treatment typically involves antibiotics to fight the infection.
  • Impetigo: This is a highly contagious skin infection that mainly affects infants and children. Impetigo causes sores and blisters.

    • Treatment usually involves antibiotics, either as a cream or as tablets.

Given your symptoms and the fact that the lesion is growing, it's important to seek medical attention.

What you can do

  1. Keep the area clean: Wash the infected area with mild soap and water. This can help prevent the infection from spreading.
  2. Avoid touching or scratching the area: This can help prevent the infection from spreading to other parts of your body or to other people.
  3. Over-the-counter pain relievers: Continue taking ibuprofen as needed for pain relief. However, avoid taking more than the recommended dose.
  4. Seek medical attention: It's important to see a healthcare provider for a proper diagnosis and treatment. They may prescribe antibiotics to help fight the infection.

What you should look out for

  • If the redness and swelling continue to spread
  • If you develop a fever (temperature over >100.4°F) or chills
  • If the pain becomes severe or if the area around the infection becomes numb
  • If you notice red streaks leading from the infected area

Please remember, while this advice is intended to be helpful, it's important to consult with a healthcare provider for a formal diagnosis and treatment.

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8 mo ago


People Also Ask


What are the common symptoms of cellulitis?

Common symptoms of cellulitis include redness, swelling, warmth, and pain in the affected area. The skin may also feel tight and tender, and there might be pus or discharge.


How can I differentiate between cellulitis and impetigo?

Cellulitis typically involves deeper layers of the skin and presents with redness, swelling, and warmth, often with pain. Impetigo, on the other hand, usually causes superficial sores and blisters, and is more common in children. A healthcare provider can help differentiate between the two.


What should I do if the infection does not improve with over-the-counter medication?

If the infection does not improve with over-the-counter medication, it is important to seek medical attention. A healthcare provider may prescribe antibiotics to effectively treat the infection.


Are there any risks associated with taking ibuprofen while on other medications like trazodone, lamotrigine, abilify, and zoloft?

While ibuprofen is generally safe, it can interact with other medications. It's important to consult with a healthcare provider to ensure there are no adverse interactions with trazodone, lamotrigine, abilify, and zoloft, especially if taken regularly.


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Leo#3962

8 mo ago

Please go to an emergency room right now to get antibiotics and possibly drainage. This sounds like a pretty serious infection and you do not want it to spread!

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