[39M] With cement burn and possible infection

Patient Description

A 39-year-old male has been experiencing a cement burn for about 10 days. Initially, the burn appeared dark and has since changed to a mushy white color. The patient reports pain, which is alleviated by compression. There is persistent redness and warmth around the area, with occasional thick yellow or clearish discharge, suggesting a mild infection. The burn has been cleaned with peroxide initially, then switched to antibacterial soap, and treated with After Burn and Neosporin. No fever or chills have been reported. This is the first reaction to cement exposure. The patient has no pre-existing conditions and is not taking any medications.

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Arora's Assessment

What might be happening

Based on your description, here are some possibilities:

  • Chemical Burn from Cement: Cement can cause chemical burns due to its alkaline nature. The symptoms you're experiencing, such as redness, warmth, and discharge, suggest a burn that may be healing but could also be infected.

    • Treatment: Typically involves cleaning the area, applying topical antibiotics, and keeping it covered. If infected, oral antibiotics may be needed.

  • Infection: The presence of yellow discharge and swelling could indicate an infection.

    • Treatment: May require antibiotics. It's important to keep the area clean and monitor for worsening symptoms.

What you can do

  1. Keep the Area Clean: Continue cleaning with mild soap and water. Avoid using peroxide as it can delay healing.
  2. Apply Topical Antibiotics: Continue using Neosporin or similar ointments to prevent infection.
  3. Monitor for Infection: Watch for increased redness, swelling, or pus, which may require medical attention.
  4. Seek Medical Advice: It's important to consult a healthcare provider to assess the need for further treatment, especially if symptoms persist or worsen.
  5. Use MDandMe: Track your symptoms and healing progress, and share this information with your healthcare provider.

What you should look out for

  • Increased Pain or Swelling: Could indicate worsening infection.
  • Fever or Chills: May suggest a systemic infection.
  • Spreading Redness or Streaks: Could be a sign of a more serious infection.

If you notice any of these symptoms, seek medical attention promptly.

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1 mo ago

People Also Ask

What are the common symptoms of a chemical burn from cement?

Common symptoms of a chemical burn from cement include redness, pain, swelling, and changes in skin color. The area may also become warm to the touch and produce discharge if infected.

How can I tell if a burn is infected?

Signs of an infected burn include increased redness, swelling, warmth, pain, and the presence of yellow or green discharge. Fever or chills can also indicate a systemic infection.

What are the best practices for treating a chemical burn at home?

For treating a chemical burn at home, clean the area gently with mild soap and water, apply a topical antibiotic like Neosporin, and keep the burn covered with a sterile bandage. Avoid using harsh substances like peroxide, which can delay healing.

When should I seek medical attention for a burn?

You should seek medical attention if you experience increased pain, swelling, spreading redness, fever, chills, or if the burn does not improve with home treatment. These could be signs of a more serious infection or complication.

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