[46F] With abscesses on labia and rash under armpits

Patient Description

A 46-year-old female presents with sudden onset of a rash under her armpits, a yeast infection in the skin, and abscesses on her labia. The patient reports waking up two days ago with one mass on the left side and one mass on the right side of her labia. These masses are associated with swelling, discharge, and pain. The patient saw a doctor who placed wicks in the abscesses, but they fell out, and she continues to experience drainage. Initially, the discharge was yellow but has since turned brown to green and become thicker. The patient has experienced fever and chills previously but not today. She also reports redness spreading from the abscesses, increased pain and tenderness in the areas around the abscesses, and general fatigue. The patient is currently taking antibiotics and has noticed some improvement. She has no history of diabetes or other conditions affecting her immune system, no other chronic illnesses, and no new sexual partners. She has a history of a partial hysterectomy in 2001 and is allergic to vancomycin and Bactrim.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Abscesses: These are collections of pus that can form in various parts of the body, including the labia. They are often caused by bacterial infections. The presence of pain, swelling, and discharge (especially if it changes color) suggests that the abscesses may still be infected.

    • Treatment: Abscesses often require drainage, which your doctor has already attempted with the wicks. Antibiotics are also commonly prescribed to treat the underlying infection. If the wicks have fallen out and the abscesses are still draining, you may need to see your doctor again for further treatment.
  • Yeast Infection: This is a common fungal infection that can cause itching, redness, and discharge. While you mentioned a yeast infection in the skin, it’s possible that the abscesses could be complicated by a secondary yeast infection.

    • Treatment: Antifungal medications, either topical or oral, are typically used to treat yeast infections. Your doctor can prescribe the appropriate medication.
  • Cellulitis: This is a bacterial skin infection that can cause redness, swelling, and tenderness. The spreading redness you mentioned could be a sign of cellulitis.

    • Treatment: Cellulitis is usually treated with antibiotics. If the infection is severe or not responding to oral antibiotics, intravenous antibiotics may be necessary.

What you can do

  1. Follow Up with Your Doctor: Given the changes in your symptoms and the fact that the wicks have fallen out, it’s important to follow up with your healthcare provider. They may need to re-evaluate the abscesses and possibly re-drain them or adjust your antibiotic treatment.

  2. Keep the Area Clean: Gently clean the affected area with mild soap and water. Avoid using harsh chemicals or scrubbing the area, as this can worsen the infection.

  3. Warm Compresses: Applying a warm compress to the affected area can help reduce pain and swelling and promote drainage.

  4. Take Your Antibiotics as Prescribed: Continue taking your antibiotics exactly as prescribed by your doctor, even if you start to feel better. This helps ensure that the infection is fully treated.

  5. Monitor Your Symptoms: Keep track of any changes in your symptoms, such as increased pain, swelling, or changes in the color or amount of discharge. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

  • Increased Redness or Swelling: If you notice that the redness or swelling is spreading or getting worse, this could be a sign that the infection is not responding to treatment.

  • Fever or Chills: If you develop a fever or chills, this could indicate that the infection is spreading and may require more aggressive treatment.

  • Severe Pain: If you experience severe pain that is not relieved by over-the-counter pain medications, you should seek medical attention.

  • Changes in Discharge: If the discharge becomes foul-smelling or significantly increases in amount, this could be a sign of a worsening infection.

Remember, while I can provide information and suggestions, I am not a doctor. It’s important to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. If you have any additional questions or concerns, please consult your healthcare provider.

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11 mo ago

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People Also Ask


What causes abscesses to form in the body?

Abscesses are typically caused by bacterial infections that lead to the accumulation of pus in tissues. They can occur when bacteria enter the body through a break in the skin or spread from an existing infection.


How can I tell if my yeast infection is getting worse?

Signs that a yeast infection is worsening include increased itching, redness, swelling, and a thick, white discharge. If symptoms persist or worsen despite treatment, it's important to consult a healthcare provider.


What are the signs that cellulitis is not responding to treatment?

Signs that cellulitis is not responding to treatment include increased redness, swelling, pain, or warmth in the affected area, as well as the development of fever or chills. If these symptoms occur, medical attention is necessary.


Why is it important to complete a course of antibiotics even if symptoms improve?

Completing a course of antibiotics is crucial to ensure that the infection is fully eradicated. Stopping treatment early can lead to the infection returning and may contribute to antibiotic resistance.


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