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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Swollen Neck With Fluid Blisters Suggest?

Hello. I am a 19 year old female, with some mysterious infection on my neck. it is red, slightly swollen, has what appear to be blisters with white fluid. It is painful and was initially itchy. Initially it looked like a insect bite with two brown marks. It was about 1cm by 1cm and has grown to about 2.5cm by 3cm. It started a week ago. I was put on 3 antibiotics (bactrim, which i started thurs of last week) (valtrex last friday) these two im taking two times a day. (the third is cleocin 4 times daily) the infection is still spreading despite the antibiotics. I have not missed a dose. I went to three doctors and they are all cluless. i can upload a picture if needed any idea what it might be?
Thu, 8 Oct 2015
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
After going through your description, it appears that you have a local inflammatory reaction due to insect bite. This has not responded to the antibiotics which was administered.
Kindly take the following medications and it should respond to these.
1. Tablet.Ciprofloxacin 500mg twice a day for 5 days.
2. Tablet. Ibuprofen + Paracetamol twice a day after food for 5 days.
Keep the wound site clean, dry and free from infection.
In case it doesn't subside, you need to get the following tests done and managed accordingly.
1. Random blood glucose to rule out diabetes mellitus.
2. Pus culture and sensitivity to know the organism and the antibiotics it is sensitive to.
Hope the information provided would be helpful.
All the best and wish you speedy recovery.
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What Could Swollen Neck With Fluid Blisters Suggest?

Hi, Thanks for posting in HCM. After going through your description, it appears that you have a local inflammatory reaction due to insect bite. This has not responded to the antibiotics which was administered. Kindly take the following medications and it should respond to these. 1. Tablet.Ciprofloxacin 500mg twice a day for 5 days. 2. Tablet. Ibuprofen + Paracetamol twice a day after food for 5 days. Keep the wound site clean, dry and free from infection. In case it doesn t subside, you need to get the following tests done and managed accordingly. 1. Random blood glucose to rule out diabetes mellitus. 2. Pus culture and sensitivity to know the organism and the antibiotics it is sensitive to. Hope the information provided would be helpful. All the best and wish you speedy recovery.