Suggest Treatment For High Fever And Rashes On The Lower Legs

Posted on Sat, 22 Oct 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 22 Oct 2016 Answered on

Wed, 9 Nov 2016 Last reviewed on

Question : This in referance to case of XXXXX M/42 yrs suffering from fever since last 4 days. intitally had high fever on 18 th oct with rash on the right lower leg for about 2 days. Then the fever subsided for one day and the rash also decreased but it appeared on the same leg now below the knee and he is also having localised pain above the thigh .The affected area was slightly swollen, red, warm , painful & tender .To r/o dengue we got CBC done on 20th in which the platelet was 2.55 lacs/cmm & WBC -8800 . Howvere since the fever came back on 21st , we repeated CBC in evening wherein the platelet was 2.81 however the WBC is 15800 Am attaching the photographs also , pls let me know if the diagnosis can be known as we are suspecting it to be ? cellulitis and also advise if any change in treatment or any further tests to be done or can be mangaed conservativle at home.

Answered by Dr. Dr. Kakkar (7 hours later)

Brief Answer:
Cellulitis. Continue with antibiotics

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar(dermatologist). I have gone through your query and I have also gone through the images.

From your description and lab results it does seem like cellulitis/ soft tissue infection.
I suggest you to continue with oral antibiotics as mentioned for a week.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Kakkar (46 minutes later)

Thanks for reverting Dr.Kakkar.

Should I repeat CBC & if yes, then when ?

Answered by Dr. Dr. Kakkar (19 hours later)

Brief Answer:
Continue antibiotics for a week

Detailed Answer:
Hi.

Not necessary.
Resolution on oral antibiotics within a week is the expected response.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar