[44F] With severe pain and unusual skin symptoms post-thorn bush injury

Patient Description

A 44-year-old female experienced severe pain and unusual skin symptoms following an incident where she fell into a thorn bush on February 1st. The patient had 57 thorns embedded in her skin, which have not been fully addressed despite antibiotic treatment. She reports sharp, stinging, numbing, and burning pain, rated as 6 out of 10 in severity, primarily in her left arm but spreading to the other arm. The patient has lost strength in her hands and observes glass-like substances and white pus emerging from her skin, particularly noticeable when Vaseline is applied. The patient has a history of intravenous methamphetamine use in 2019, which left spots on her skin that now seem to be the source of the glass-like pus. Additionally, she had female cancer in 2006, resulting in the removal of her uterus and cervix, but she retains her ovaries. She also has a knot on her left breast that requires further examination. The patient is currently taking Suboxone 8 mg twice daily and Gabapentin 600 mg three times daily. She has no known drug allergies and smokes weed.

Show More

Arora's Assessment

What might be happening

Based on the information you have provided, several potential issues could be contributing to your symptoms:

  1. Foreign Body Reaction: The presence of thorns under your skin for an extended period can lead to a foreign body reaction. This can cause persistent pain, inflammation, and the formation of pus as your body tries to expel the foreign material.

    • Treatment typically involves the removal of the foreign bodies by a healthcare professional, followed by appropriate wound care and possibly antibiotics to prevent or treat infection.
  2. Infection: The sharp, stabbing pain, numbness, and presence of pus suggest that an infection may be present. Infections can occur when foreign objects like thorns penetrate the skin and introduce bacteria.

    • Treatment usually involves antibiotics and, in some cases, surgical intervention to drain abscesses or remove infected tissue.
  3. Nerve Damage: The numbness and loss of strength in your hands could indicate nerve damage, possibly from the injury itself or from prolonged inflammation and infection.

    • Treatment may include medications to manage pain and inflammation, physical therapy, and in some cases, surgical intervention.
  4. Abscess Formation: The glass-like substances and white pus emerging from your skin could be indicative of abscesses, which are pockets of infection.

    • Treatment often involves drainage of the abscesses and antibiotics.

What you can do

  1. Seek Medical Attention: It is crucial to see a healthcare professional as soon as possible. They can perform a thorough examination, remove any remaining thorns, and provide appropriate treatment for any infections or complications.
  2. Keep the Area Clean: Until you can see a doctor, keep the affected areas clean and covered with sterile bandages to prevent further infection.
  3. Avoid Further Injury: Try to avoid any activities that could exacerbate your symptoms or introduce new infections.
  4. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen may help manage your pain temporarily.

What you should look out for

  1. Worsening Symptoms: If you notice an increase in pain, swelling, redness, or pus, seek medical attention immediately.
  2. Systemic Symptoms: If you develop a fever, chills, or feel generally unwell, these could be signs of a more serious infection that requires prompt medical treatment.
  3. Changes in Sensation: If you experience increased numbness, tingling, or loss of function in your arms or hands, seek medical attention as these could be signs of nerve damage.

Please remember, while I can provide information based on your symptoms, it is essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

Top picked over-the-counter products for Bug and Insect Bites: Treat and Prevent

People Also Ask


What are the potential complications of having thorns embedded in the skin for an extended period?

Having thorns embedded in the skin for a long time can lead to complications such as persistent pain, inflammation, infection, and the formation of abscesses. It is important to have the thorns removed by a healthcare professional to prevent these issues.


How can a foreign body reaction manifest in the body, and what are the treatment options?

A foreign body reaction occurs when the body tries to expel an object that is not supposed to be there, such as a thorn. This can cause inflammation, pain, and pus formation. Treatment usually involves removing the foreign body, cleaning the wound, and possibly using antibiotics to prevent infection.


What are the signs of a skin infection, and how is it typically treated?

Signs of a skin infection include redness, swelling, warmth, pain, and the presence of pus. Treatment typically involves antibiotics to fight the infection and, in some cases, surgical intervention to drain abscesses or remove infected tissue.


What could cause numbness and loss of strength in the hands after a skin injury?

Numbness and loss of strength in the hands after a skin injury could be due to nerve damage, which might occur from the injury itself or from prolonged inflammation and infection. Treatment may include medications for pain and inflammation, physical therapy, and sometimes surgery to repair nerve damage.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback