[44F] With sudden thigh pain and swelling post insect bite

Patient Description

A 44-year-old female reports sudden onset of pain in the thigh, described as feeling like a bite, with a severity of 4 out of 10. The area is red, swollen, tight, itchy, and warm to the touch. She experienced numbness and tingling localized to the thigh. Symptoms began a day ago, with no known injury. The patient recently spent time outdoors and recalls an insect bite. She is currently taking Amox-Clav 875-125 mg every 6 hours for an earache. No other medications or pre-existing conditions reported. No fever, chills, or spreading of symptoms noted.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Insect Bite or Allergic Reaction: The sudden redness, swelling, warmth, and itchiness could be due to an insect bite or an allergic reaction to something you came into contact with outdoors. This can cause localized pain and tingling.

    • Treatment: Typically involves antihistamines for itching and swelling, and topical creams to reduce inflammation.
  • Cellulitis: This is a bacterial skin infection that can cause redness, warmth, and swelling. It often occurs after a break in the skin, such as an insect bite.

    • Treatment: Usually requires antibiotics. Since you're already on Amox-Clav, it might help if this is the case, but you should consult a doctor.

What you can do

  • Monitor Symptoms: Keep an eye on the redness and swelling. If it worsens, seek medical attention.
  • Cold Compress: Apply a cold compress to the area to reduce swelling and discomfort.
  • Over-the-Counter Relief: Consider taking an antihistamine for itching and inflammation.
  • Rest and Elevate: Rest your leg and elevate it to help reduce swelling.
  • Use MDandMe: Journal your symptoms, track any changes, and share this information with your healthcare provider.

What you should look out for

  • Seek Medical Attention If:
    • The redness or swelling spreads.
    • You develop a fever or the area becomes more painful.
    • You notice any pus or drainage from the area.

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment.

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2 mo ago


People Also Ask


What are common symptoms of an insect bite or allergic reaction?

Common symptoms include redness, swelling, warmth, itchiness, and localized pain or tingling.


How can I tell if I have cellulitis?

Cellulitis often presents as redness, warmth, swelling, and tenderness in the affected area, sometimes with fever.


What over-the-counter treatments can help with itching and swelling?

Antihistamines can help with itching and swelling, and topical creams can reduce inflammation.


When should I seek medical attention for a skin reaction?

Seek medical attention if the redness or swelling spreads, you develop a fever, or if there is pus or increased pain.


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