Concluded Case

A 65 year's male....non Diabatic ..has started a lesion by scratch due to itching....1 week ago ..and devloped to this...plz spot and diagnose....

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Concluded answer

There is significant edema of left lower leg There is blister formation with exudation of infected fluid This is indicative of deep seated abscess/ necrosis Adv Plan IV antibiotics, Check for diabetes and treat if blood sugars are raised Limb elevation Tablet lasilactone 1 tablet daily If there is no response to treatment then he may need release incision, fasciotomy for drainage of infected and necrotic material

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Acute fulminating cellulitis Bullae ruptured due to scratch and oozes out D/d lymphoedema Rx rest and care of lower limb Icepacks Inj Ceftriaxozone iv Inj lenazolinid Inj diclofenac Once swelling is reduced and infection is settled down shift on oral treatment Investigate cbc esr bsl profile urine routine Pbs for filaria

Thanx dr Pushkar ji Bhomia
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? CELLULITIS LEFT .. FOOT .. ? LYMPHANGITIS.. MANAGEMENT.. LINEZOLID +CEFIXIME WITH NSAIDS AS PER REQUIREMENT.. OINTMENT MUPIROCIN.. INVESTIGATE WITH.. HEMOGRAM.. URINE ROUTINE.. BSR..HBA1C.. PUS C AND S..EXAMINATION .. X-RAY STUDY..

Tnx Dr Shivraj Agarwal sir
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Ac.Cellulitis following scratching. Cause of scratching could be Pyoderma Gangrenous../Linchen Planus Chronicle./ Fungal infection.. Cold compression... Cefruodoxime axetil 250 mg 1 tab x BD.x 5 days. NSAiD. Antiseptic application. Adv.Check for P.Fillaria

Thank you doctor
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This seems to be case of venous stasis due to varicose and after itching developed ulcer with secondary infection. D/D it may a case of lymphangitis of lower limb leading to collection of lymph bullae and after itching developed the ulcer with secondary infection To go for color Doppler to see for any cause of venous stasis. Routine blood examination Blood for sugar and HbA1c to the glycaemic status

Thanks Dr Shivraj Agarwal
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POSSIBLE NON. HEALING. ULCER SECONDARY. TO INFECTED VENOUS. STASIS. / LYMPHANGITIS.. / LYMPHOEDEMA NEEDS 1. X. RAY 2. COLOR. DOPPLER 3. BIOPSY 4. CULTURE. AND. SENSITIVITY 5. ECG... .. USG.... CHEST. AND. ABDOMEN

Thank you doctor
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There is significant edema of left lower leg There is blister formation with exudation of infected fluid This is indicative of deep seated abscess/ necrosis Adv Plan IV antibiotics, Check for diabetes and treat if blood sugars are raised Limb elevation Tablet lasilactone 1 tablet daily If there is no response to treatment then he may need release incision, fasciotomy for drainage of infected and necrotic material

Thank you doctor
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Thanks@Curofy
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a result, people with atopic dermatitis frequently suffer from boils, folliculitis and infected eczema. The infection causes eczema to worsen and become more resistant to the usual treatment with emollients and topical steroids. Treating Malassezia Folliculitis Topical drugs and ointments like econazole and clotrimazole are often prescribed for a variety of fungal infections. These drugs, applied to malassezia folliculitis, can eliminate the fungus responsible for the irritation, clearing your symptoms. Folliculitis usually goes away on its own but can be helped with warm wet compresses or antibacterial soaps. See your child's doctor if the folliculitis does not improve, if there is redness, swelling or pain at the folliculitis or if your child develops a fever. Your may need an antibiotic.

Thanks doctor
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Necrotising Tissue with cellulitis, fasculitis, oedema

Thanx@Dr. Vipin Bihari Jain sir ji
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Cellulitis Broad spectrum antibiotics Sterile dressing Antiinflammatories

Thanks Dr. Kute Ankush, Dr. Shivraj Agrawal, Dr. Sandeep S, Dr. Rajendra Rai, Dr. Mrinal Kantil Pal, Dr. Dinesh Gupta, Dr. Gyanendra Tripathi, Dr. Pushker Bhomia
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