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Suggest Treatment For Allergic Rash On Back Spreading To Other Parts Of Body
Question: My 88 year old friend has recently had pneumonia bladder infection and blood infection, he was given amoxil which he had told medical staff he was allergic to. the medication finished yesterday but had been given to hom from 9th XXXXXXX to 18th. He has a rash that started on his back and has and is spreading to other parts of his body. one of the treating doctors says it is from tegretol, which he taken previously but had been taken off it because it was not helping what it had been prescribed for. while takeing it or any other medication he had not had a reaction anything like this rash. the only other change in medication is perindo. i'm worried as I think the rash is worsening, when I first saw it it was large raised red welts, they are not so raised but the area has spread and looks a bit like measles, if my memory is correct.
the rash is all aver his back round his ribs some on his chest on his legs and buttocks
the rash is all aver his back round his ribs some on his chest on his legs and buttocks
Brief Answer:
Possible amoxil allergy
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:
1. It appears to be possible allergic rashes.
2. As the medication is stopped, if its allergic, it will start reducing.
3. Steroids cannot be started now, as it will be unnecessary as amoxil or suspected tegretol is stopped. Also starting steroids will reduce immunity and affect blood sugar levels.
4. Perindo, may not be causing it. As there is a known allergy to amoxil, need to wait and watch. If it continues to increase, perindo might need to be changed to other anti-hypertensives.
5. Get a routine hemogram. Look for any eosinophilia or lymphocytosis. If eosinophilia is present, it is possible allergic reaction. Lymphocytosis, may point out towards a possible viral infection.
He will require good hydration (atleast 6-8 liters of water) and protein rich diet to improve immunity. Maintaining the area of rashes clean, is very important to avoid secondary infection. Antibiotic creams can be used, if any ulceration is present.
If there is any itching, antihistamines like loratidine will be helpful.
Get a complete hemogram to look for any change in white blood cell values. Based on that further opinion possible.
Also do let me know, if any specific medications are prescribed for the rashes.
Hope it helps.
Any further queries, here to help again.
with regards,
Dr. Prakash HM
Possible amoxil allergy
Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:
1. It appears to be possible allergic rashes.
2. As the medication is stopped, if its allergic, it will start reducing.
3. Steroids cannot be started now, as it will be unnecessary as amoxil or suspected tegretol is stopped. Also starting steroids will reduce immunity and affect blood sugar levels.
4. Perindo, may not be causing it. As there is a known allergy to amoxil, need to wait and watch. If it continues to increase, perindo might need to be changed to other anti-hypertensives.
5. Get a routine hemogram. Look for any eosinophilia or lymphocytosis. If eosinophilia is present, it is possible allergic reaction. Lymphocytosis, may point out towards a possible viral infection.
He will require good hydration (atleast 6-8 liters of water) and protein rich diet to improve immunity. Maintaining the area of rashes clean, is very important to avoid secondary infection. Antibiotic creams can be used, if any ulceration is present.
If there is any itching, antihistamines like loratidine will be helpful.
Get a complete hemogram to look for any change in white blood cell values. Based on that further opinion possible.
Also do let me know, if any specific medications are prescribed for the rashes.
Hope it helps.
Any further queries, here to help again.
with regards,
Dr. Prakash HM
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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