[33M] With sudden bruising and finger discoloration after new medications

Patient Description

A 33-year-old male reports a sudden dark, oval-shaped bruise-like patch on the inner wrist and solid purple discoloration of the fingertips on the right hand, occurring 15 minutes ago. The patient experiences pain and swelling in the wrist, with some difficulty moving the fingers and wrist. Shortness of breath and chest pain are also present. Symptoms began two days after starting Cephalexin (500mg four times daily) and Prednisone (20mg three times daily) for RSV and a UTI diagnosed three days ago. The patient uses an Albuterol inhaler every four hours or as needed and has a history of kidney problems diagnosed three years ago. There is a known allergy to Bactrim, but no previous similar reactions to medications.

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Arora's Assessment

What might be happening

Based on your symptoms, there are a few possibilities:

  1. Allergic Reaction: The sudden appearance of a dark bruise-like patch and purple fingertips, along with shortness of breath and chest pain, could indicate an allergic reaction to the new medications. Allergic reactions can cause changes in skin color and swelling.

  2. Circulatory Issue: The discoloration and pain in your fingers might suggest a problem with blood flow, possibly related to the medications or an underlying condition.

  3. Medication Side Effect: Both Cephalexin and Prednisone can have side effects, though severe reactions like this are less common.

It's crucial to seek immediate medical attention to determine the exact cause and receive appropriate treatment.

What you can do

  • Seek Emergency Care: Given the severity and sudden onset of your symptoms, it's important to get medical help right away. Please go to the nearest emergency room or call 911, especially since you're experiencing chest pain and shortness of breath.

  • Stop Taking New Medications: Until you receive medical advice, it may be wise to pause the new medications, but only if a healthcare provider advises you to do so.

  • Inform Medical Staff: When you seek care, inform them about your recent medications, allergies, and symptoms.

Remember, it's essential to get professional medical evaluation and treatment as soon as possible.

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People Also Ask


What are the common signs of an allergic reaction to medications?

Common signs of an allergic reaction to medications include rash, itching, swelling, difficulty breathing, and changes in skin color. Severe reactions can also cause chest pain and shortness of breath.


Can Cephalexin or Prednisone cause changes in skin color or circulatory issues?

While Cephalexin and Prednisone can cause side effects, severe changes in skin color or circulatory issues are less common. However, any unusual symptoms should be evaluated by a healthcare professional.


What should I do if I experience chest pain and shortness of breath after starting a new medication?

If you experience chest pain and shortness of breath after starting a new medication, seek emergency medical attention immediately, as these could be signs of a serious reaction.


How can a history of kidney problems affect reactions to medications?

A history of kidney problems can affect how your body processes medications, potentially leading to increased risk of side effects or reactions. It's important to inform your healthcare provider about your kidney history when being prescribed new medications.


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