[50F] With scalp swelling and lymph node enlargement

Patient Description

A 50-year-old female presents with a possible bite on the scalp that has resulted in significant swelling and a large lump in the lymph node area, approximately the size of a tennis ball. The swelling began as a small knot and rapidly increased over two days. The patient experienced chills initially, which have since resolved, and reports a dull pain in the throat area associated with the swelling, rated 5/10 in severity. The wound has been present for about a week, with some relief from aloe vera and alcohol application. No redness or warmth is noted around the swollen area. The patient has a history of thyroid nodules diagnosed 8-9 years ago and allergies to sulfa and MRI contrast dye. She has not taken any medications recently and reports decreased appetite and fatigue, having slept for almost two days straight. There is no difficulty swallowing or breathing, and no recent travel or other swollen lymph nodes noted. One episode of night sweats was reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Infected Bite or Abscess: The swelling and pain could be due to an infection from a bite or wound. Infections can cause lymph nodes to swell as they work to fight off the infection. Treatment typically involves antibiotics and sometimes drainage of the abscess if present.

  • Lymphadenopathy: Swollen lymph nodes can occur due to infections or other underlying conditions. Since you mentioned a possible bite, this could be a reactive lymph node.

  • Allergic Reaction or Irritant Exposure: If there's a possibility of exposure to harmful substances, this could cause swelling and discomfort.

It's important to see a healthcare professional for a proper diagnosis and treatment plan.

What you can do

  • Seek Medical Attention: Given the size and rapid growth of the swelling, it's important to consult a healthcare provider as soon as possible.

  • Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, redness, or fever.

  • Avoid Irritants: If you suspect exposure to harmful substances, try to avoid them and inform your healthcare provider.

  • Use MDandMe: You can use MDandMe to journal your symptoms, track progress, and share this information with your healthcare provider.

What you should look out for

  • Increased Pain or Swelling: If the swelling continues to grow or becomes more painful, seek immediate medical care.

  • Fever or Chills: These could indicate a spreading infection.

  • Difficulty Breathing or Swallowing: Seek emergency care if these symptoms develop.

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

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6 mo ago

People Also Ask


What could cause a large swelling in the lymph node area after a possible bite?

A large swelling in the lymph node area after a bite could be due to an infection, as the lymph nodes may swell in response to fighting off the infection. It could also be a reactive lymph node due to the body's immune response to the bite.


How can I tell if a swollen lymph node is due to an infection or something else?

Swollen lymph nodes due to an infection are often accompanied by symptoms like pain, tenderness, fever, or chills. If the swelling is painless and persists, it might be due to other conditions and should be evaluated by a healthcare provider.


What are the signs that a bite or wound might be infected?

Signs of an infected bite or wound include increased redness, warmth, swelling, pain, pus or discharge, and systemic symptoms like fever or chills. If these symptoms are present, medical evaluation is recommended.


When should I seek medical attention for a swollen lymph node?

You should seek medical attention for a swollen lymph node if it is rapidly growing, very painful, accompanied by fever or chills, or if you experience difficulty breathing or swallowing. Persistent swelling without improvement also warrants a medical evaluation.


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